LEE THEOPHELIS, MD
Plastic and Reconstructive Surgery Physician · MELBOURNE, FL
Individual Active NPI 1861448318
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 160 | 682 | $253,101 | $101,086 | $77,095 |
| 2023 | 171 | 588 | $252,265 | $102,059 | $79,604 |
| 2022 | 142 | 564 | $267,935 | $107,855 | $83,906 |
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 | 63 | $87 | $60 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 54 | $55 | $41 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 37 | $49 | $39 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 37 | $107 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $164 | $108 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 17 | $160 | $128 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $125 | $93 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $129 | $103 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | ME59792 | FL |
| Trauma Surgery Physician | 2086S0127X | ME59792 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Plastic and Reconstructive Surgery Physician providers in Florida
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See all Plastic and Reconstructive Surgery Physician providers in Florida →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.