DANIEL LEGAULT, MD
Nephrology Physician · GRAND RAPIDS, MI
Individual Active NPI 1649204892
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 315 | 730 | $130,637 | $74,857 | $56,099 |
| 2023 | 450 | 1,139 | $260,624 | $159,819 | $122,278 |
| 2022 | 473 | 1,337 | $299,438 | $176,025 | $134,819 |
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 | 171 | $75 | $59 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 157 | $111 | $86 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 | $89 | $66 |
| 90935 | Hemodialysis procedure with physician evaluation | 65 | $67 | $52 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 62 | $131 | $100 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | $125 | $100 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | $155 | $124 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 23 | $121 | $27 |
| 90945 | Dialysis procedure including 1 evaluation | 19 | $81 | $65 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | $48 | $38 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 12 | $331 | $248 |
| 99239 | Hospital discharge day management, more than 30 minutes | 11 | $109 | $86 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | DL056685 | MI |
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.