Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 119 | 153 | $35,973 | $10,833 |
| 2022 | 6 | 131 | 244 | $36,386 | $11,741 |
| 2021 | 1 | 12 | 12 | $1,868 | $457.60 |
| 2020 | 2 | 38 | 64 | $11,436 | $3,534 |
All Medicare Procedures & Services
14 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 28 | 38 | $12,362 | $3,733 | 30.2% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 32 | 32 | $9,111 | $2,724 | 29.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 25 | 37 | $8,695 | $2,427 | 27.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 13 | 13 | $5,564 | $1,921 | 34.5% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 21 | 33 | $241.45 | $27.88 | 11.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 37 | 37 | $10,679 | $3,475 | 32.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 18 | 31 | $9,567 | $3,231 | 33.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 29 | 37 | $8,335 | $2,746 | 32.9% |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | Office | 2022 | 13 | 15 | $4,263 | $1,365 | 32.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 11 | 15 | $2,652 | $827.76 | 31.2% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 23 | 109 | $890.17 | $96.04 | 10.8% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 12 | 12 | $1,868 | $457.60 | 24.5% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 20 | 41 | $8,433 | $2,654 | 31.5% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 18 | 23 | $3,004 | $879.78 | 29.3% |
About Dr. Henry Pelto, MD
Dr. Henry Pelto, MD is a Sports Medicine healthcare provider based in Seattle, Washington. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/16/2009. The National Provider Identifier (NPI) number assigned to this provider is 1659514909.
As a Medicare-enrolled provider, Pelto has provided services to 300 Medicare beneficiaries, totaling 473 services with total Medicare billing of $26,565. Data is available for 4 years (2020–2023), covering 14 distinct procedure/service records.
Practice Information
- Specialty Sports Medicine
- Other Specialties Family Medicine
- Location Seattle, WA
- Active Since 04/16/2009
- Last Updated 10/15/2021
- Taxonomy Code 207XX0005X
- Entity Type Individual
- NPI Number 1659514909
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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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