SAMUEL PEGRAM, MD
Rheumatology Physician · GEORGETOWN, TX
Individual Active NPI 1528043130
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 279 | 63,006 | $2,204,107 | $573,569 | $449,409 |
| 2023 | 294 | 53,569 | $1,650,852 | $427,105 | $337,379 |
| 2022 | 455 | 33,088 | $1,436,987 | $409,721 | $323,433 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 53,600 | $5 | $4 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 336 | $1 | $1 |
| 96372 | Injection of drug or substance under skin or into muscle | 297 | $13 | $10 |
| J3489 | Injection, zoledronic acid, 1 mg | 285 | $6 | $5 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 284 | $118 | $86 |
| 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 | 137 | $16 | $12 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 108 | $57 | $42 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 89 | $84 | $58 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 38 | $52 | $36 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $158 | $111 |
| 20610 | Aspiration and/or injection of fluid from large joint | 29 | $71 | $48 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 28 | $110 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | F9937 | TX |
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.