GARETH SHEMESH, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · WHEAT RIDGE, CO
Individual Active NPI 1619980620
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 213 | 1,643 | $227,883 | $98,191 | $76,244 |
| 2023 | 226 | 1,037 | $205,661 | $92,963 | $71,504 |
| 2022 | 219 | 1,130 | $205,191 | $91,533 | $70,065 |
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 | 638 | $77 | $61 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 91 | $48 | $39 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 82 | $124 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 75 | $86 | $67 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | $116 | $93 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 56 | $167 | $126 |
| 99238 | Hospital discharge day management, 30 minutes or less | 50 | $80 | $63 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 18 | $181 | $141 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ✓ | 34284 | CO |
| Physical Medicine & Rehabilitation Physician | 208100000X | 34284 | CO |
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.