EDISON VALLE-GILER, M.D.
Neurological Surgery Physician · FORT MYERS, FL
Individual Active NPI 1518306497
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 509 | 1,168 | $2,243,863 | $459,904 | $361,426 |
| 2023 | 395 | 954 | $1,244,755 | $346,413 | $273,784 |
| 2022 | 337 | 972 | $758,735 | $367,002 | $291,641 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 276 | $128 | $97 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 220 | $168 | $127 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 81 | $183 | $141 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 81 | $224 | $164 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | $174 | $135 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 42 | $285 | $227 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | $119 | $95 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $133 | $106 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $92 | $70 |
| 22513 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | 13 | $516 | $411 |
| 22514 | Treatment of broken lower spine bone with placement of stabilizing device | 13 | $500 | $398 |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 11 | $1,885 | $1,502 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ✓ | ME140187 | FL |
| Neurological Surgery Physician | 207T00000X | MD.206068 | LA |
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.