MICHAEL GILPATRICK, MD
General Practice Physician · INDIANAPOLIS, IN
Individual Active NPI 1659333276
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 490 | 1,828 | $218,080 | $188,625 | $127,013 |
| 2023 | 1,150 | 8,724 | $893,331 | $829,266 | $619,179 |
| 2022 | 1,080 | 6,001 | $642,899 | $613,992 | $463,237 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 843 | $100 | $71 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 364 | $118 | $85 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 192 | $116 | $56 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 69 | $123 | $95 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 52 | $71 | $29 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 50 | $38 | $21 |
| 99497 | Advance care planning, first 30 minutes | 43 | $70 | $54 |
| 99497 | Advance care planning, first 30 minutes | 39 | $76 | $49 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 27 | $42 | $26 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | $119 | $119 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $153 | $84 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 16 | $49 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | 01042660A | IN |
| Anesthesiology Physician | 207L00000X | 01042660 | IN |
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.