JACK DIEP, MD
Interventional Pain Medicine Physician · LAKE HAVASU CITY, AZ
Individual Active NPI 1912333014
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 679 | 10,856 | $2,580,154 | $644,948 | $493,286 |
| 2023 | 804 | 12,134 | $4,708,236 | $809,564 | $629,539 |
| 2022 | 798 | 16,574 | $4,393,625 | $994,522 | $773,305 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,975 | $0 | $0 |
| 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 | 1,229 | $16 | $12 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,212 | $1 | $1 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,086 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 986 | $122 | $90 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 348 | $86 | $63 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 232 | $159 | $112 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 167 | $61 | $61 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 161 | $49 | $36 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 125 | $292 | $218 |
| J0690 | Injection, cefazolin sodium, 500 mg | 124 | $1 | $1 |
| 72148 | Mri scan of lower spinal canal without contrast | 84 | $185 | $137 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ✓ | 55528 | AZ |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 55528 | AZ | |
| Pain Medicine Physician | 208VP0000X | 55528 | AZ |
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.