CARMEN GOTA, MD
Rheumatology Physician · ST. GEORGE, UT
Individual Active NPI 1568427052
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 444 | 45,293 | $928,202 | $380,270 | $287,010 |
| 2023 | 436 | 186,749 | $3,955,538 | $1,642,593 | $1,300,937 |
| 2022 | 398 | 21,385 | $657,370 | $249,105 | $195,787 |
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) | 36,000 | $5 | $4 |
| J0129 | Injection, abatacept, 10 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) | 1,325 | $43 | $33 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 496 | $108 | $71 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 180 | $66 | $40 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 57 | $5 | $5 |
| 36415 | Insertion of needle into vein for collection of blood sample | 56 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 56 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 54 | $10 | $10 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $153 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 45 | $68 | $45 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 44 | $57 | $30 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | $45 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 12719806-1205 | UT |
| Rheumatology Physician | 207RR0500X | 76241 | MN | |
| Rheumatology Physician | 207RR0500X | 35082592 | OH |
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.