DONALD ST. CLAIRE, M.D.
Interventional Cardiology Physician · E PALO ALTO, CA
Individual Active NPI 1790719268
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,813 | 7,011 | $3,454,411 | $954,486 | $735,755 |
| 2023 | 1,823 | 6,434 | $3,430,207 | $1,006,474 | $778,400 |
| 2022 | 1,479 | 5,386 | $2,698,516 | $840,152 | $651,367 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,183 | $16 | $12 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 738 | $215 | $163 |
| 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 | 729 | $19 | $15 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 494 | $154 | $117 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 486 | $250 | $186 |
| J2785 | Injection, regadenoson, 0.1 mg | 336 | $9 | $7 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 335 | $252 | $187 |
| 76376 | 3d radiographic procedure | 198 | $32 | $25 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 186 | $132 | $104 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 158 | $514 | $410 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 156 | $3 | $3 |
| 93320 | Ultrasound of heart blood flow, valves and chambers | 141 | $20 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | G68721 | CA |
| Cardiovascular Disease Physician | 207RC0000X | G68721 | CA |
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.