MARK SUTTON, MD
Urology Physician · HOUSTON, TX
Individual Active NPI 1699769935
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,080 | 21,982 | $608,582 | $502,260 | $375,990 |
| 2023 | 989 | 25,854 | $600,140 | $525,746 | $393,166 |
| 2022 | 949 | 21,136 | $591,937 | $509,024 | $384,151 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,400 | $0 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 1,224 | $11 | $8 |
| J1952 | Leuprolide injectable, camcevi, 1 mg | 840 | $56 | $45 |
| 36415 | Insertion of needle into vein for collection of blood sample | 809 | $8 | $8 |
| 81003 | Automated urinalysis test | 724 | $2 | $2 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 721 | $62 | $48 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 621 | $128 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 594 | $92 | $60 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 285 | $48 | $38 |
| 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 | 277 | $16 | $11 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 99 | $168 | $123 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 92 | $125 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | K6353 | TX |
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.