npidexNPI registry + Medicare data

DONOVAN POLACK, MD

Nephrology Physician · FLORISSANT, MO

Individual Active NPI 1659324465

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024132644$240,607$91,757$71,580
2023181746$312,806$120,006$94,364
20222011,035$437,500$174,971$136,370

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes224$113$90
90960Dialysis services, 4 or more physician visits per month (20 years or older)111$339$270
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more109$104$71
G2211Visit 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's103$16$12
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes35$166$132
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes22$76$60
90961Dialysis services, 2-3 physician visits per month (20 years or older)17$283$225
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more11$153$102

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nephrology Physician207RN0300X✓R5H69MO
Specialist174400000X036-072078IL
Specialist174400000XR5H69MO
Nephrology Physician207RN0300X036-072078IL

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.