DON PALENCIA, D.O.
Family Medicine Physician · SAN MARCOS, CA
Individual Active NPI 1538144241
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 419 | 5,536 | $652,588 | $533,862 | $409,931 |
| 2023 | 216 | 3,312 | $370,380 | $286,476 | $214,797 |
| 2022 | 241 | 4,323 | $471,440 | $396,404 | $296,594 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 2,042 | $75 | $60 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,070 | $140 | $109 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,023 | $129 | $95 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 683 | $78 | $57 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 199 | $12 | $12 |
| 36415 | Insertion of needle into vein for collection of blood sample | 177 | $9 | $9 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 55 | $143 | $91 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 44 | $65 | $47 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 40 | $187 | $134 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 33 | $284 | $227 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 19 | $50 | $32 |
| 99496 | Transitional care management services for problem of high complexity | 16 | $290 | $231 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 20A12968 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in California
- NPI 1538964572
- NPI 1215078399
- NPI 1942734892
- NPI 1376513119
- NPI 1619975232
- NPI 1720508476
- NPI 1245541242
- NPI 1598098345
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.