Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 453 | 777 | $572,202 | $66,256 |
| 2022 | 11 | 742 | 1,263 | $990,433 | $108,671 |
| 2021 | 7 | 291 | 555 | $402,913 | $44,227 |
All Medicare Procedures & Services
24 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 139 | 351 | $252,018 | $32,022 | 12.7% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 117 | 120 | $166,680 | $15,436 | 9.3% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 100 | 100 | $73,700 | $8,818 | 12.0% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 52 | 89 | $44,500 | $5,334 | 12.0% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 30 | 102 | $27,744 | $3,735 | 13.5% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 15 | 15 | $7,560 | $910.32 | 12.0% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 160 | 422 | $303,712 | $33,683 | 11.1% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 195 | 197 | $274,896 | $30,020 | 10.9% |
| 99220 | Initial hospital observation care per day, typically 70 minutes | Facility | 2022 | 87 | 88 | $110,923 | $12,228 | 11.0% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 76 | 196 | $98,037 | $10,871 | 11.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 94 | 95 | $70,149 | $7,660 | 10.9% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 27 | 28 | $43,006 | $4,763 | 11.1% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 37 | 166 | $45,193 | $4,755 | 10.5% |
| 99217 | Hospital observation care on day of discharge | Facility | 2022 | 28 | 28 | $14,149 | $1,518 | 10.7% |
| 99226 | Follow-up observation care per day, typically 35 minutes | Facility | 2022 | 16 | 18 | $12,897 | $1,290 | 10.0% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 11 | 11 | $10,452 | $1,162 | 11.1% |
| 99225 | Follow-up observation care per day, typically 25 minutes | Facility | 2022 | 11 | 14 | $7,020 | $720.66 | 10.3% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 97 | 257 | $190,463 | $20,879 | 11.0% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 47 | 47 | $67,657 | $7,466 | 11.0% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 60 | 60 | $45,823 | $5,015 | 10.9% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 37 | 81 | $41,512 | $4,576 | 11.0% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2021 | 23 | 23 | $30,335 | $3,316 | 10.9% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2021 | 15 | 75 | $20,915 | $2,285 | 10.9% |
| 99217 | Hospital observation care on day of discharge | Facility | 2021 | 12 | 12 | $6,210 | $689.04 | 11.1% |
About Dr. Justin Carlson, MD
Dr. Justin Carlson, MD is a Hospitalist healthcare provider based in Silverdale, Washington. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/19/2018. The National Provider Identifier (NPI) number assigned to this provider is 1477040939.
As a Medicare-enrolled provider, Carlson has provided services to 1,486 Medicare beneficiaries, totaling 2,595 services with total Medicare billing of $219,153. Data is available for 3 years (2021–2023), covering 24 distinct procedure/service records.
Practice Information
- Specialty Hospitalist
- Location Silverdale, WA
- Active Since 04/19/2018
- Last Updated 01/26/2022
- Taxonomy Code 208M00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1477040939
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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.