MAITE ANTOLA
Internal Medicine Physician · OREM, UT
Individual Active NPI 1518584655
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 30 | 414 | $14,472 | $7,685 | $6,312 |
| 2023 | 41 | 876 | $37,480 | $18,380 | $15,646 |
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 | 22 | $103 | $74 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 21 | $8 | $8 |
| 80076 | Liver function blood test panel | 21 | $8 | $8 |
| 82150 | Amylase (enzyme) level | 21 | $6 | $6 |
| 82550 | Creatine kinase (cardiac enzyme) level, total | 21 | $6 | $6 |
| 82977 | Glutamyltransferase (liver enzyme) level | 21 | $7 | $7 |
| 36415 | Insertion of needle into vein for collection of blood sample | 21 | $9 | $9 |
| 83615 | Lactate dehydrogenase (enzyme) level | 21 | $6 | $6 |
| 84550 | Uric acid level, blood | 21 | $4 | $4 |
| 83735 | Magnesium level | 21 | $7 | $7 |
| 84100 | Phosphate level | 21 | $5 | $5 |
| 83721 | Ldl cholesterol level | 19 | $10 | $10 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 11971127-1206 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Internal Medicine Physician providers in Utah
- NPI 1003282567
- NPI 1801953518
- NPI 1790013548
- NPI 1124420492
- NPI 1841496338
- NPI 1962422543
- NPI 1194118380
- NPI 1669498119
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.