LISA DEFALCO, D.O.
Obstetrics & Gynecology Physician · HACKETTSTOWN, NJ
Individual Active NPI 1659478691
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 207 | 422 | $79,131 | $31,836 | $22,550 |
| 2023 | 238 | 456 | $101,346 | $44,843 | $33,973 |
| 2022 | 211 | 328 | $60,643 | $36,065 | $27,007 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 93 | $5 | $3 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 91 | $139 | $91 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 77 | $43 | $43 |
| 99459 | Pelvic exam | 46 | $26 | $16 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $100 | $62 |
| 58100 | Biopsy of lining of uterus | 13 | $101 | $80 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 11 | $49 | $49 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ✓ | MB077754 | NJ |
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.