CARL CALICA, MD
Surgery Physician · CARMEL, NY
Individual Active NPI 1629059670
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 512 | $120,742 | $80,499 | $62,394 |
| 2023 | 165 | 414 | $158,016 | $89,844 | $68,917 |
| 2022 | 134 | 381 | $139,748 | $93,265 | $72,116 |
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 | 53 | $99 | $73 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 47 | $182 | $129 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 39 | $122 | $92 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 35 | $61 | $49 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | $9 | $9 |
| 49650 | Repair of groin hernia using an endoscope | 20 | $555 | $432 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | $15 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 17 | $133 | $100 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 13 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 198255 | NY |
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.