MARC PHILLPOTTS, M.D.
Rheumatology Physician · WASHINGTON, DC
Individual Active NPI 1518300151
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 430 | 24,704 | $1,423,649 | $447,261 | $356,307 |
| 2023 | 108 | 6,640 | $390,726 | $125,876 | $102,424 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 4,260 | $26 | $21 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 2,962 | $0 | $0 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 2,940 | $11 | $9 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 466 | $18 | $13 |
| 80053 | Blood test, comprehensive group of blood chemicals | 316 | $10 | $10 |
| 36415 | Insertion of needle into vein for collection of blood sample | 284 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 277 | $142 | $102 |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 242 | $18 | $18 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 240 | $5 | $5 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 221 | $8 | $8 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 210 | $3 | $3 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 157 | $100 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | A168762 | WA |
| Rheumatology Physician | 207RR0500X | MD044077 | DC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.