Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2021 | 6 | 338 | 878 | $188,331 | $59,315 |
| 2020 | 3 | 1,036 | 4,986 | $595,115 | $307,527 |
All Medicare Procedures & Services
9 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 103 | 582 | $104,760 | $32,878 | 31.4% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 64 | 117 | $30,186 | $9,587 | 31.8% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 55 | 58 | $29,174 | $9,214 | 31.6% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 71 | 75 | $13,650 | $4,307 | 31.5% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 20 | 21 | $7,161 | $2,263 | 31.6% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Facility | 2021 | 25 | 25 | $3,400 | $1,067 | 31.4% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Facility | 2020 | 513 | 4,460 | $486,140 | $253,228 | 52.1% |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | Facility | 2020 | 512 | 515 | $108,150 | $53,953 | 49.9% |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | Office | 2020 | 11 | 11 | $825.00 | $346.39 | 42.0% |
About Dr. Barbara Semakula, M.D
Dr. Barbara Semakula, M.D is a Sports Medicine healthcare provider based in Spokane, Washington. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/04/2007. The National Provider Identifier (NPI) number assigned to this provider is 1811181795.
As a Medicare-enrolled provider, Semakula has provided services to 1,374 Medicare beneficiaries, totaling 5,864 services with total Medicare billing of $366,842. Data is available for 2 years (2020–2021), covering 9 distinct procedure/service records.
Practice Information
- Specialty Sports Medicine
- Other Specialties Sports Medicine
- Location Spokane, WA
- Active Since 09/04/2007
- Last Updated 03/09/2022
- Taxonomy Code 2081S0010X
- Entity Type Individual
- NPI Number 1811181795
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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