JOHN GUGLIELMETTI, MD
Surgery Physician · LYNCHBURG, VA
Individual Active NPI 1780630988
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 286 | 614 | $340,219 | $145,951 | $113,485 |
| 2023 | 370 | 662 | $364,018 | $164,100 | $126,635 |
| 2022 | 436 | 779 | $411,084 | $191,876 | $149,390 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 135 | $90 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 67 | $111 | $76 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $166 | $123 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 45 | $226 | $182 |
| 19301 | Partial removal of breast | 45 | $636 | $508 |
| 38900 | Imaging of lymph nodes during surgery | 45 | $132 | $106 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 | $124 | $94 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $128 | $98 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $218 | $167 |
| 19303 | Simple complete removal of breast | 14 | $936 | $751 |
| 19125 | Removal of growth of breast identified by x-ray marker, first growth | 13 | $436 | $334 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 0101234016 | VA |
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.