STACEY DAULT, DO
Sports Medicine (Family Medicine) Physician · TEMPE, AZ
Individual Active NPI 1760775357
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 208 | 4,045 | $215,929 | $100,375 | $77,846 |
| 2023 | 108 | 1,423 | $79,781 | $39,472 | $31,056 |
| 2022 | 23 | 65 | $7,107 | $6,302 | $5,016 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 809 | $0 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 239 | $114 | $88 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 206 | $72 | $57 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 134 | $88 | $65 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 82 | $124 | $97 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 77 | $126 | $98 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $157 | $125 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 | $107 | $81 |
| 20610 | Aspiration and/or injection of fluid from large joint | 26 | $62 | $48 |
| 73560 | X-ray of knee, 1-2 views | 24 | $33 | $23 |
| 73030 | X-ray of shoulder, minimum of 2 views | 11 | $34 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ✓ | 006185 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Family Medicine) Physician providers in Arizona
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See all Sports Medicine (Family Medicine) Physician providers in Arizona →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.