npidexNPI registry + Medicare data

SAMMANTHA KOUBA, DO

Infectious Disease Physician · FARGO, ND

Individual Active NPI 1760877344

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024121282$69,306$25,919$20,293
2023134284$63,063$26,034$20,091
2022143362$84,090$32,502$25,996

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes118$75$60
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes81$123$96
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more51$63$46
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more11$126$101

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Infectious Disease Physician207RI0200X✓16710ND
Internal Medicine Physician207R00000XDO-05366IA
Student in an Organized Health Care Education/Training Program390200000XPG172349OR

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.