HEATHER MASCIO, D.O
Nephrology Physician · CHESTER, PA
Individual Active NPI 1962633610
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 680 | 3,559 | $724,868 | $353,125 | $272,262 |
| 2023 | 666 | 2,078 | $635,038 | $288,370 | $214,458 |
| 2022 | 665 | 2,232 | $672,068 | $309,118 | $236,972 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 843 | $79 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 705 | $130 | $93 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 669 | $17 | $13 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 433 | $64 | $51 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 272 | $49 | $39 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 179 | $174 | $138 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 170 | $344 | $272 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 80 | $117 | $93 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 45 | $292 | $228 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $171 | $134 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $125 | $100 |
| 90935 | Hemodialysis procedure with physician evaluation | 13 | $71 | $57 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 0S19327 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Pennsylvania
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.