JAMES GAPINSKI, MD
Sleep Medicine (Internal Medicine) Physician · GREEN BAY, WI
Individual Active NPI 1922114768
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 397 | 480 | $289,025 | $45,239 | $33,736 |
| 2023 | 395 | 471 | $249,900 | $44,527 | $31,215 |
| 2022 | 443 | 560 | $306,502 | $54,168 | $37,729 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 280 | $84 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $153 | $111 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 36 | $55 | $40 |
| 95810 | Sleep study in sleep lab (6 years or older) | 35 | $107 | $81 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 30 | $120 | $91 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 27 | $115 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 | $104 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 32447-20 | WI |
| Pulmonary Disease Physician | 207RP1001X | 32447-20 | WI |
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.