JUSTIN PLAXICO, D.O.
Surgery Physician · ADA, OK
Individual Active NPI 1518996958
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 315 | 669 | $282,634 | $101,008 | $77,910 |
| 2023 | 331 | 758 | $281,198 | $107,429 | $82,212 |
| 2022 | 152 | 325 | $97,369 | $40,928 | $32,352 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | $76 | $55 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 60 | $67 | $38 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 53 | $120 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 49 | $83 | $62 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 45 | $103 | $74 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 40 | $159 | $114 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 36 | $52 | $38 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 34 | $52 | $36 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | $233 | $190 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 24 | $166 | $166 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 18 | $76 | $61 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 14 | $665 | $530 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 3875 | OK |
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.