The pricing information above IS NOT the amount charged by this provider. * The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. Most Utilized Procedure Code for established patients office visits: 99214 Most Utilized Procedure Code for new patients office visits: 99204Įstablished Patients Office Visits Costs * The prices below reflect the costs for new and established patients in the 95405 ZIP code area. Medicare pricing is usually a reference point for private insurance covered patients. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. The provider accepts as payment the Medicare approved amount. You may have to pay this amount, or it may be covered by another insurer.Įligible order / refer Part B Clinical Laboratory and ImagingĮligible order / refer Durable Medical EquipmentĮligible order / refer Home Health Agency (HHA)Įligible order / refer Power Mobility Devices Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.Ī provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Yes "What does it mean "accepts medicare assignment"? Providers must enroll in PECOS to avoid denied claims. A NPI number is necessary to register in PECOS. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS Enrollment and Medicare Participation Status *Please verify directly with this provider to make sure your insurance plan is currently accepted. The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs: This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Taxonomy CodeĪn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. For individual NPIs the license data is associated to the taxonomy code. There could be only one primary taxonomy code per NPI record. The primary taxonomy code defines the provider type, classification, and specialization. The typical physician office visit costs for Medicare beneficiaries in this area are: $36.36 for a new patient copayment and $28.29 for an established patient copayment. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. According to Medicare claims data she has hospital affiliations with California Pacific Medical Ctr-davies Campus Hosp, Sutter Santa Rosa Regional Hospital and Sutter Lakeside Hospital. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.Īruna Jayaraman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Aruna Jayaraman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. Internists are trained to care for adults of all ages for many different medical conditions. JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITYĪn internist like Aruna Jayaraman is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty.
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