ROBERT MAC DONALD, M.D.
Otolaryngology Physician · SAINT PETERS, MO
Individual Active NPI 1861417156
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 488 | 3,627 | $324,930 | $156,728 | $115,299 |
| 2023 | 489 | 3,626 | $333,173 | $160,577 | $117,795 |
| 2022 | 556 | 4,213 | $316,468 | $167,922 | $120,880 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,110 | $13 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 433 | $87 | $63 |
| 95117 | Professional service for multiple injections of allergen | 403 | $12 | $8 |
| 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 | 260 | $16 | $12 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 138 | $107 | $77 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 134 | $122 | $90 |
| 69210 | Removal of impacted ear wax | 83 | $46 | $36 |
| 92567 | Test to assess middle ear function | 73 | $15 | $11 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $157 | $104 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 57 | $122 | $97 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 56 | $1 | $1 |
| 70486 | Ct scan of face without contrast | 39 | $124 | $85 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | MO103596 | MO |
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.