DAVID CUMMINGS, MD
Surgery Physician · SEBRING, FL
Individual Active NPI 1881951804
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 170 | 553 | $234,559 | $79,349 | $63,171 |
| 2023 | 186 | 609 | $272,235 | $88,469 | $67,793 |
| 2022 | 252 | 698 | $312,434 | $98,563 | $75,246 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 125 | $82 | $66 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 68 | $136 | $108 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 | $94 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $132 | $100 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 34 | $169 | $141 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $174 | $141 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $115 | $84 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $93 | $75 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | $180 | $142 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 15 | $19 | $15 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | $123 | $100 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $57 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | ME129961 | FL |
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.