MICHELE GILSENAN, D.O.
Sports Medicine (Family Medicine) Physician · CLARK, NJ
Individual Active NPI 1821066283
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 474 | 1,028 | $163,766 | $71,543 | $51,923 |
| 2023 | 370 | 969 | $131,496 | $56,921 | $45,922 |
| 2022 | 363 | 959 | $137,449 | $60,262 | $55,050 |
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 | 335 | $97 | $67 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 114 | $121 | $74 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 87 | $68 | $68 |
| 81003 | Automated urinalysis test | 58 | $2 | $2 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 49 | $16 | $16 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 45 | $35 | $35 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 41 | $138 | $98 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 30 | $16 | $16 |
| 71046 | X-ray of chest, 2 views | 30 | $36 | $26 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 22 | $16 | $12 |
| 87070 | Bacterial culture, any other source except urine, blood or stool, aerobic | 21 | $8 | $8 |
| 87088 | Bacterial urine culture | 18 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ✓ | MB53933 | NJ |
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.