GUILLERMO ZEGARRA, M.D.
Specialist · BULLHEAD CITY, AZ
Individual Active NPI 1568478493
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 431 | 2,713 | $316,904 | $243,102 | $180,940 |
| 2023 | 409 | 2,370 | $262,522 | $213,832 | $157,733 |
| 2022 | 479 | 2,943 | $316,576 | $256,866 | $191,882 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,152 | $75 | $60 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 546 | $85 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 403 | $120 | $77 |
| 99238 | Hospital discharge day management, 30 minutes or less | 184 | $77 | $61 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 178 | $124 | $97 |
| 99497 | Advance care planning, first 30 minutes | 47 | $79 | $47 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 40 | $18 | $18 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $159 | $98 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | $125 | $125 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | $108 | $71 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 13 | $213 | $163 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | 32150 | AZ |
| Internal Medicine Physician | 207R00000X | 32150 | AZ |
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.