Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 148 | 166 | $39,356 | $13,374 |
| 2022 | 8 | 217 | 234 | $44,542 | $17,003 |
| 2021 | 4 | 126 | 137 | $10,423 | $6,684 |
| 2020 | 8 | 197 | 215 | $49,774 | $17,075 |
All Medicare Procedures & Services
27 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 49505 | Repair of groin hernia (5 years or older) | Facility | 2023 | 11 | 12 | $16,746 | $4,541 | 27.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 51 | 62 | $6,553 | $2,673 | 40.8% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 19 | 19 | $4,614 | $1,825 | 39.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 30 | 30 | $4,760 | $1,441 | 30.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 15 | 16 | $2,561 | $1,198 | 46.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 11 | 11 | $2,596 | $1,088 | 41.9% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 11 | 16 | $1,526 | $608.96 | 39.9% |
| 49505 | Repair of groin hernia (5 years or older) | Facility | 2022 | 13 | 13 | $18,005 | $5,068 | 28.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 65 | 75 | $6,213 | $3,345 | 53.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 30 | 30 | $7,164 | $2,653 | 37.0% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 46 | 46 | $5,889 | $2,652 | 45.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 21 | 21 | $2,654 | $1,409 | 53.1% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 13 | 13 | $1,963 | $996.52 | 50.8% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 12 | 18 | $1,710 | $473.72 | 27.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 17 | 18 | $944.00 | $405.57 | 43.0% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 56 | 66 | $3,973 | $2,626 | 66.1% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Facility | 2021 | 40 | 40 | $3,824 | $2,349 | 61.4% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 17 | 18 | $1,707 | $1,213 | 71.1% |
| 99202 | New patient outpatient visit, total time 15-29 minutes | Facility | 2021 | 13 | 13 | $919.00 | $496.67 | 54.0% |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | Facility | 2020 | 19 | 19 | $19,665 | $5,006 | 25.5% |
| 49505 | Repair of groin hernia patient age 5 years or older | Facility | 2020 | 11 | 11 | $16,140 | $4,735 | 29.3% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Facility | 2020 | 54 | 54 | $5,338 | $2,725 | 51.0% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 48 | 58 | $3,828 | $1,958 | 51.2% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2020 | 14 | 14 | $2,058 | $1,040 | 50.5% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 16 | 18 | $1,566 | $951.22 | 60.7% |
About Dr. Timothy O'brien, M.D
Dr. Timothy O'brien, M.D is a Surgery healthcare provider based in Rockport, Maine. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/05/2006. The National Provider Identifier (NPI) number assigned to this provider is 1962441055.
As a Medicare-enrolled provider, O'brien has provided services to 688 Medicare beneficiaries, totaling 752 services with total Medicare billing of $54,137. Data is available for 4 years (2020–2023), covering 27 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Location Rockport, ME
- Active Since 06/05/2006
- Last Updated 02/05/2014
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1962441055
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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