POLANCO HERNANDEZ, GUSTAVO
NPI: 1013558188
· BRONX, NY 10453
· Critical Care Medicine (Internal Medicine) Physician
· NPI assigned 09/30/2019
1,926
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
991 |
$45K |
| 2024 |
1,080 |
$35K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99442 |
|
1,173 |
1,085 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
506 |
457 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
108 |
$7K |
| 99401 |
|
16 |
16 |
$188.35 |
| 99443 |
|
26 |
26 |
$77.15 |
| 99406 |
|
13 |
13 |
$70.16 |
| 1170F |
|
32 |
32 |
$0.00 |
| 3074F |
|
20 |
20 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 99497 |
|
31 |
31 |
$0.00 |
| 3725F |
|
29 |
29 |
$0.00 |
| 1160F |
|
29 |
29 |
$0.00 |
| 3078F |
|
26 |
24 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
16 |
$0.00 |