PETER FONSECA, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · BRIDGETON, MO
Individual Active NPI 1760483101
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 125 | 512 | $279,035 | $89,185 | $70,342 |
| 2023 | 106 | 413 | $254,328 | $85,264 | $67,297 |
| 2022 | 115 | 522 | $306,813 | $106,738 | $84,785 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 177 | $47 | $38 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | $76 | $60 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 45 | $162 | $129 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 34 | $92 | $65 |
| 31622 | Diagnostic exam of lung airway using an endoscope | 29 | $63 | $50 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 29 | $174 | $134 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 22 | $93 | $71 |
| 39402 | Exam of chest with biopsy of lymph node using an endoscope | 16 | $240 | $191 |
| 32551 | Removal of fluid from between lung and chest cavity | 13 | $143 | $114 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ✓ | 116658 | MO |
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.