MATTHEW FOLSTEIN, MD
Surgery Physician · MISHAWAKA, IN
Individual Active NPI 1952536674
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 160 | 366 | $342,912 | $118,665 | $92,299 |
| 2023 | 176 | 428 | $337,693 | $122,151 | $94,837 |
| 2022 | 180 | 448 | $423,980 | $153,103 | $120,291 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 65 | $155 | $109 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $120 | $92 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 | $119 | $77 |
| 15734 | Creation of muscle graft to trunk | 24 | $1,037 | $826 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | $73 | $58 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 17 | $631 | $508 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 | $103 | $70 |
| 49505 | Repair of groin hernia (5 years or older) | 14 | $551 | $439 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 13 | $297 | $236 |
| 49650 | Repair of groin hernia using an endoscope | 12 | $468 | $362 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 01074919 | IN |
| Surgery Physician | 208600000X | 01074919A | IN |
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.