SERGIO CANTU, M.D.
Family Medicine Physician · ALICE, TX
Individual Active NPI 1770862047
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 466 | 14,519 | $1,856,980 | $1,046,633 | $793,420 |
| 2023 | 510 | 17,313 | $2,420,100 | $1,391,214 | $1,072,532 |
| 2022 | 551 | 20,158 | $2,740,016 | $1,483,094 | $1,138,644 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 5,068 | $101 | $77 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,251 | $0 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,051 | $69 | $53 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 814 | $47 | $37 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 731 | $119 | $80 |
| 99497 | Advance care planning, first 30 minutes | 665 | $77 | $53 |
| 99497 | Advance care planning, first 30 minutes | 620 | $70 | $54 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 612 | $98 | $77 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 489 | $59 | $43 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 436 | $1 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 334 | $13 | $9 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 307 | $39 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | P0707 | TX |
| Hospitalist Physician | 208M00000X | P0707 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Texas
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- NPI 1013934645
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.