BRENT GUSTAFSON, MD
Family Medicine Physician · MENOMONEE FALLS, WI
Individual Active NPI 1841850997
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 75 | 288 | $99,484 | $25,609 | $19,927 |
| 2023 | 64 | 93 | $23,573 | $7,999 | $5,773 |
| 2022 | 59 | 71 | $10,560 | $5,180 | $3,863 |
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 | 86 | $117 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 38 | $85 | $55 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | $118 | $118 |
| G0008 | Administration of influenza virus vaccine | 18 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | $76 | $76 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $156 | $102 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $144 | $144 |
| 90480 | Admn sarscov2 vacc 1 dose | 11 | $37 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 82122 | WI |
| Family Medicine Physician | 207Q00000X | 4301504906 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Wisconsin
- NPI 1285261842
- NPI 1295737823
- NPI 1356566350
- NPI 1801956214
- NPI 1720664238
- NPI 1669715108
- NPI 1306589866
- NPI 1952841868
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.