npidexNPI registry + Medicare data

ANGELIA SIDARTA, D.O.

Family Medicine Physician · BREA, CA

Individual Active NPI 1790731776

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241811,147$210,726$76,816$58,595
2023161517$142,911$58,575$42,032
2022164649$153,496$63,645$49,691

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more260$137$92
G2211Visit 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's141$17$13
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit89$139$139
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more38$99$69
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more22$194$129
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit22$177$177
G0008Administration of influenza virus vaccine12$35$35
90653Influenza vaccine, inactivated12$82$82

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X✓20A7501CA

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.