GANNON RANDOLPH, M.D.
Orthopaedic Surgery of the Spine Physician · BENTONVILLE, AR
Individual Active NPI 1528173697
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 285 | 1,935 | $652,430 | $191,812 | $151,560 |
| 2023 | 385 | 1,913 | $750,648 | $223,551 | $173,370 |
| 2022 | 371 | 1,559 | $979,232 | $278,596 | $218,027 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 72100 | X-ray of lower and sacral spine, 2-3 views | 247 | $24 | $19 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $113 | $88 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 93 | $148 | $115 |
| 72040 | X-ray of upper spine, 2-3 views | 76 | $24 | $18 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 64 | $161 | $127 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | $80 | $64 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 37 | $198 | $158 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 31 | $874 | $696 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 27 | $1 | $1 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 25 | $221 | $176 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 18 | $180 | $144 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 15 | $50 | $40 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | E5957 | AR |
| Orthopaedic Surgery Physician | 207X00000X | E5957 | AR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery of the Spine Physician providers in Arkansas
- NPI 1558921320
- NPI 1407068562
- NPI 1548068364
- NPI 1760650592
- NPI 1407811169
- NPI 1801874078
- NPI 1932242153
- NPI 1700831872
See all Orthopaedic Surgery of the Spine Physician providers in Arkansas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.