ANDREY PETRIKOVETS, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · LOS ANGELES, CA

Individual Active NPI 1922307123

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	171	1,849	$371,822	$153,840	$118,954
2023	151	606	$246,265	$76,651	$59,610
2022	112	637	$242,008	$70,866	$56,033

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	$134	$103
99459	Pelvic exam	242	$27	$21
81002	Urinalysis, manual test	121	$3	$3
51701	Insertion of temporary bladder tube	98	$49	$37
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	$182	$137
51741	Electronic assessment of bladder emptying	46	$8	$6
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	$179	$128
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	$236	$179
52000	Diagnostic exam of bladder and urethra using an endoscope	34	$270	$209
57160	Fitting and insertion of vaginal support device	27	$78	$62
51729	Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	27	$417	$325
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	$100	$72

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	A127810	CA
Student in an Organized Health Care Education/Training Program	390200000X		—	—

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