MICHAEL GAULT, M.D.
Cardiovascular Disease Physician · LAGUNA HILLS, CA
Individual Active NPI 1598857930
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,033 | 5,372 | $649,939 | $522,855 | $392,489 |
| 2023 | 988 | 5,081 | $621,491 | $499,468 | $376,573 |
| 2022 | 935 | 4,739 | $580,325 | $477,788 | $357,669 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,335 | $139 | $99 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 944 | $16 | $11 |
| 93297 | Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 595 | $27 | $21 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 307 | $30 | $24 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 263 | $8 | $7 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 206 | $222 | $168 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 201 | $82 | $65 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 128 | $80 | $62 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 122 | $135 | $108 |
| J2785 | Injection, regadenoson, 0.1 mg | 116 | $7 | $6 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 111 | $99 | $67 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 105 | $27 | $21 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | G72812 | CA |
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.