FRANK GWATHMEY, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · CHARLOTTESVILLE, VA
Individual Active NPI 1528261229
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 213 | $196,436 | $45,671 | $35,794 |
| 2023 | 142 | 207 | $116,530 | $30,986 | $23,853 |
| 2022 | 114 | 200 | $162,087 | $43,176 | $33,452 |
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 | 50 | $93 | $71 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $61 | $46 |
| 20610 | Aspiration and/or injection of fluid from large joint | 25 | $43 | $33 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $128 | $87 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 13 | $1,029 | $815 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 0101254551 | VA |
| Orthopaedic Surgery Physician | 207X00000X | 0101027381 | VA |
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.