KENNETH GORDON, MD
Internal Medicine Physician · LAGRANGE, GA
Individual Active NPI 1871549204
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 378 | 14,751 | $647,821 | $347,548 | $278,806 |
| 2023 | 476 | 17,378 | $732,149 | $384,249 | $306,230 |
| 2022 | 522 | 16,214 | $670,339 | $381,907 | $293,950 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,168 | $60 | $45 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 745 | $121 | $80 |
| 36415 | Insertion of needle into vein for collection of blood sample | 642 | $9 | $9 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 620 | $46 | $35 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 528 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 515 | $10 | $10 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 496 | $16 | $16 |
| 81003 | Automated urinalysis test | 495 | $2 | $2 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 492 | $13 | $13 |
| 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 | 489 | $16 | $12 |
| 82043 | Urine microalbumin (protein) level | 448 | $6 | $6 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 447 | $5 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 037816 | GA |
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.