npidexNPI registry + Medicare data

DUSTIN PORTELA, D.O.

Dermatology Physician · BOISE, ID

Individual Active NPI 1588002547

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244172,034$220,881$117,811$84,613
20233981,910$335,708$160,178$115,024
20223632,073$538,606$238,392$175,721

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17003Destruction of precancer skin growth, 2-14 growths643$6$5
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more389$83$57
17000Destruction of precancer skin growth, 1 growth280$49$36
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more206$119$84
11102Biopsy of related skin growth, first growth170$86$64
17110Destruction of skin growth, 1-14 growths65$103$80
11103Biopsy of related skin growth, each additional growth57$42$33
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more47$102$62
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more17$52$39
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more15$154$109
69100Biopsy of ear12$69$55

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000X✓O-1052ID
Student in an Organized Health Care Education/Training Program390200000X5101020649MI
Student in an Organized Health Care Education/Training Program390200000X——

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.