MARTINA MUTONE, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · FISHERS, IN

Individual Active NPI 1619981545

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	311	6,834	$813,145	$216,478	$166,210
2023	338	8,222	$838,479	$234,264	$177,482
2022	334	7,448	$759,141	$222,631	$169,167

HCPCS	Description	Services	Avg allowed	Avg paid
J0585	Injection, onabotulinumtoxina, 1 unit	5,350	$6	$5
99459	Pelvic exam	164	$20	$15
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	148	$154	$104
51798	Ultrasound measurement of bladder capacity after voiding	115	$10	$7
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	107	$15	$12
81003	Automated urinalysis test	107	$2	$2
57425	Surgical repair of vaginal defect using an endoscope	58	$850	$673
57288	Creation of sling around urethra in female to control leakage	55	$418	$328
52287	Exam with injections of chemical for destruction of bladder using an endoscope	50	$348	$265
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	$117	$84
58571	Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less	33	$419	$335
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	29	$84	$51

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	01050199A	IN
Obstetrics & Gynecology Physician	207V00000X		01050199A	IN

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