CARLOS MICAMES, MD
Gastroenterology Physician · MAYAGUEZ, PR
Individual Active NPI 1598787491
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 74 | 166 | $22,115 | $20,022 | $14,431 |
| 2023 | 77 | 180 | $24,049 | $21,678 | $15,423 |
| 2022 | 77 | 188 | $26,718 | $23,993 | $17,534 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 | $90 | $61 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $110 | $78 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 16 | $89 | $71 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $108 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | $244 | $182 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 16768 | PR |
| Gastroenterology Physician | 207RG0100X | 2003-00666 | NC |
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.