npidexNPI registry + Medicare data

KACEY PROVENZANO, M.D.

Urology Physician · RICHLAND, WA

Individual Active NPI 1740523158

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244161,172$270,455$119,847$89,706
20234271,136$242,787$120,615$91,560
20224481,108$230,629$124,753$94,557

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more163$93$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more125$64$47
52000Diagnostic exam of bladder and urethra using an endoscope113$76$57
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more94$127$87
G2211Visit 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's93$16$13
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more59$80$57
74420Imaging of urinary tract following injection of a contrast agent59$24$19
51702Simple insertion of temporary bladder tube51$25$18
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more33$30$21
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more33$141$88
52332Insertion of stent in ureter using an endoscope31$147$117
52356Crushing of stone of ureter with insertion of stent using an endoscope29$400$317

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Urology Physician208800000X✓MD60964556WA
Urology Physician208800000X264720MA

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.