ELLIOTT SEMBLE, M.D.
Rheumatology Physician · WINSTON SALEM, NC
Individual Active NPI 1780677237
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 187 | 1,431 | $232,835 | $106,644 | $75,081 |
| 2023 | 205 | 904 | $204,538 | $106,997 | $76,129 |
| 2022 | 212 | 998 | $220,650 | $119,350 | $83,502 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 819 | $113 | $79 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 574 | $15 | $12 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 21 | $203 | $129 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 17 | $80 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 24946 | NC |
| Specialist | 174400000X | 24946 | NC |
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.