CARL SHERMETARO, DO
Otolaryngology Physician · CLARKSTON, MI
Individual Active NPI 1700994530
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 426 | 1,087 | $218,300 | $103,958 | $71,126 |
| 2023 | 383 | 1,039 | $159,520 | $92,191 | $65,324 |
| 2022 | 408 | 1,284 | $244,640 | $136,571 | $100,346 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 292 | $85 | $55 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 140 | $106 | $70 |
| 92557 | Comprehensive hearing and speech recognition test | 125 | $34 | $23 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 81 | $159 | $99 |
| 92567 | Test to assess middle ear function | 72 | $15 | $10 |
| 95115 | Professional service for single injection of allergen | 67 | $10 | $6 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 47 | $121 | $78 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 33 | $121 | $82 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 28 | $159 | $108 |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 19 | $185 | $136 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $53 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | CS010855 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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- NPI 1992546105
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.