ILITCH DIAZ GUTIERREZ, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · MAPLEWOOD, MN
Individual Active NPI 1629209366
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 113 | $200,929 | $43,369 | $33,955 |
| 2023 | 51 | 107 | $185,034 | $38,254 | $30,012 |
| 2022 | 62 | 116 | $144,633 | $32,995 | $25,773 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $125 | $91 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 11 | $171 | $111 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ✓ | 63088 | MN |
| Surgery Physician | 208600000X | RS2009-0378 | NM |
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.