MICHAEL GAMBLA, M.D.
Urology Physician · WORTHINGTON, OH
Individual Active NPI 1952367641
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 451 | 5,813 | $736,161 | $192,422 | $145,671 |
| 2023 | 539 | 6,122 | $1,048,256 | $306,136 | $234,296 |
| 2022 | 473 | 6,193 | $1,163,744 | $306,781 | $237,204 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1,600 | $6 | $5 |
| 81003 | Automated urinalysis test | 499 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 455 | $10 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 238 | $87 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 160 | $122 | $90 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 89 | $221 | $163 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 77 | $107 | $76 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | $127 | $101 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $161 | $112 |
| 51700 | Simple bladder irrigation and/or instillation | 19 | $71 | $57 |
| 52332 | Insertion of stent in ureter using an endoscope | 14 | $113 | $90 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 13 | $390 | $314 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 35073770 | OH |
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.