MARK GHILARDUCCI, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · OXNARD, CA
Individual Active NPI 1922063700
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 473 | 6,319 | $696,894 | $238,871 | $176,789 |
| 2023 | 432 | 11,871 | $612,044 | $203,470 | $154,302 |
| 2022 | 349 | 12,651 | $430,942 | $172,086 | $124,893 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,440 | $7 | $5 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 396 | $7 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 355 | $97 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 317 | $136 | $99 |
| 20610 | Aspiration and/or injection of fluid from large joint | 252 | $70 | $53 |
| 73564 | X-ray of knee, 4 or more views | 170 | $52 | $37 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 160 | $1 | $1 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 146 | $119 | $76 |
| 73030 | X-ray of shoulder, minimum of 2 views | 106 | $39 | $29 |
| 73721 | Mri scan of leg joint without contrast | 60 | $168 | $119 |
| 73560 | X-ray of knee, 1-2 views | 54 | $39 | $30 |
| 73502 | X-ray of hip, 2-3 views | 48 | $54 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | G59002 | CA |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | G59002 | 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.