NICHOLAS HERNANDEZ
Adult Reconstructive Orthopaedic Surgery Physician · SEATTLE, WA
Individual Active NPI 1679989396
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 237 | 424 | $412,737 | $138,163 | $106,824 |
| 2023 | 198 | 368 | $430,920 | $149,862 | $117,593 |
| 2022 | 284 | 417 | $385,345 | $115,456 | $87,368 |
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 | 62 | $182 | $127 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 50 | $100 | $74 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 49 | $139 | $96 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 28 | $198 | $150 |
| 27447 | Replacement of knee joint, both sides of knee | 27 | $1,331 | $1,048 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 26 | $1,377 | $1,097 |
| G2211 | Visit 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's | 22 | $17 | $14 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 19 | $240 | $191 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 18 | $63 | $45 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 12 | $100 | $80 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ✓ | MD61286038 | WA |
| Orthopaedic Surgery Physician | 207X00000X | MD61286038 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | 59423 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Adult Reconstructive Orthopaedic Surgery Physician providers in Washington
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See all Adult Reconstructive Orthopaedic Surgery Physician providers in Washington →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.