PHILLIP MARTINEZ-KNOUSE, M.D.
Hematology & Oncology Physician · SUMMIT, WI
Individual Active NPI 1689036923
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 288 | 824 | $186,180 | $76,322 | $56,923 |
| 2023 | 219 | 553 | $100,875 | $50,593 | $37,069 |
| 2022 | 111 | 172 | $29,533 | $15,678 | $12,446 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 475 | $90 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 121 | $61 | $42 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 71 | $132 | $104 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | $118 | $94 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 30 | $123 | $85 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | $73 | $58 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 25 | $167 | $123 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 15 | $34 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ✓ | 22233-875 | WI |
| Hematology & Oncology Physician | 207RH0003X | 036.149823 | IL |
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.