DUSIT ADSTAMONGKONKUL, M.D.

Neurology with Special Qualifications in Child Neurology Physician · SPRINGFIELD, MO

Individual Active NPI 1619382645

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	294	733	$159,766	$63,629	$48,187
2023	41	48	$16,397	$6,883	$5,520

HCPCS	Description	Services	Avg allowed	Avg paid
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	245	$16	$13
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	$165	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	$127	$99
95816	Measurement of brain wave activity (eeg), awake and drowsy	69	$55	$43
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	54	$90	$68
95720	Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional	53	$202	$161
95718	Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional	24	$131	$102
95813	Measurement of brain wave activity (eeg), 61-119 minutes	23	$83	$66

Specialty	Code	Primary	License	State
Neurology with Special Qualifications in Child Neurology Physician	2084N0402X	✓	2017039503	MO
Neurology with Special Qualifications in Child Neurology Physician	2084N0402X		7231	GA

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.