SARA CICHOWSKI

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · PORTLAND, OR

Individual Active NPI 1912199134

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	147	338	$270,344	$59,748	$45,166
2023	122	329	$196,959	$49,233	$38,231
2022	114	292	$148,290	$40,284	$30,670

HCPCS	Description	Services	Avg allowed	Avg paid
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	$186	$128
52287	Exam with injections of chemical for destruction of bladder using an endoscope	34	$166	$122
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	31	$66	$46
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	$100	$71
51797	Insertion of device into abdomen with pressure and urine flow rate study	12	$40	$30
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	$19	$14
51741	Electronic assessment of bladder emptying	12	$4	$3
51729	Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	$127	$94
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	$127	$73

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	MD28406	OR
Obstetrics & Gynecology Physician	207V00000X		57.008910	OH
Obstetrics & Gynecology Physician	207V00000X		MD2011-0047	NM
Obstetrics & Gynecology Physician	207V00000X		MD28406	OR

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.