JEFFREY SEKULA, M.D.
Urology Physician · NEW HARTFORD, NY
Individual Active NPI 1518946060
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,172 | 17,557 | $1,088,650 | $395,868 | $301,922 |
| 2023 | 1,071 | 19,218 | $1,456,506 | $588,782 | $458,454 |
| 2022 | 1,006 | 16,306 | $1,407,971 | $493,894 | $380,025 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,800 | $0 | $0 |
| J9030 | Bcg live intravesical instillation, 1 mg | 3,200 | $3 | $2 |
| J0897 | Injection, denosumab, 1 mg | 2,160 | $25 | $20 |
| 81003 | Automated urinalysis test | 734 | $2 | $2 |
| 36415 | Insertion of needle into vein for collection of blood sample | 537 | $9 | $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 | 427 | $16 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 372 | $87 | $62 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 330 | $59 | $44 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 328 | $122 | $91 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 262 | $60 | $46 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 190 | $11 | $7 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 161 | $225 | $174 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 165368 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in New York
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- NPI 1366538332
- NPI 1164413662
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.