JOSE SIBAL, M.D.
Nephrology Physician · CHICO, CA
Individual Active NPI 1912903758
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 771 | 4,404 | $647,253 | $457,455 | $347,458 |
| 2023 | 798 | 3,598 | $655,284 | $489,324 | $376,221 |
| 2022 | 784 | 3,718 | $711,192 | $528,428 | $405,635 |
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 | 987 | $75 | $59 |
| 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 | 936 | $16 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 888 | $90 | $60 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 478 | $349 | $276 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 348 | $9 | $7 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 166 | $123 | $97 |
| 90966 | Home dialysis services per month (20 years or older) | 156 | $291 | $227 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 99 | $47 | $37 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 97 | $113 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 77 | $165 | $111 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 51 | $165 | $129 |
| 90935 | Hemodialysis procedure with physician evaluation | 40 | $68 | $54 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | A50617 | CA |
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.