EMILIE JACOBSEN, MD
MOHS-Micrographic Surgery Physician · GREAT FALLS, MT
Individual Active NPI 1548729445
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 195 | 703 | $182,219 | $70,640 | $55,496 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 147 | $2 | $2 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 83 | $309 | $246 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 | $64 | $47 |
| 17000 | Destruction of precancer skin growth, 1 growth | 66 | $49 | $37 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 51 | $183 | $146 |
| 11102 | Biopsy of related skin growth, first growth | 35 | $25 | $19 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 25 | $98 | $78 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 | $78 | $57 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 22 | $34 | $27 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 20 | $95 | $72 |
| 17110 | Destruction of skin growth, 1-14 growths | 17 | $68 | $52 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 16 | $140 | $111 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ✓ | 140163 | MT |
| Dermatology Physician | 207N00000X | 140163 | MT | |
| Dermatology Physician | 207N00000X | 01090118A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other MOHS-Micrographic Surgery Physician providers in Montana
- NPI 1821074295
- NPI 1891749446
- NPI 1700998572
- NPI 1811345093
- NPI 1144932658
- NPI 1558033712
See all MOHS-Micrographic Surgery Physician providers in Montana →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.