Active NPI 1427033547 Individual Practitioner Male Practitioner

Dr. Kulin N Oza , MD

Surgery • Hanover, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kulin Oza, MD is a certified Surgery practicing in Hanover, PA. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Oza delivers high-quality medical care to the local community at 3130 GRANDVIEW RD STE 1.

Dr. Oza is affiliated with Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3130 Grandview Rd Ste 1

Hanover, PA 173319134

Telephone 7173166999

Associated Practice Facility / Clinic

🏢 Pinnacle Health Medical Services Facility NPI 1790263564

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hanover, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -0.7 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Hanover, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oza (35 Years) 35 Yrs

Hanover Specialty Average (35.7 Years) 35.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	136	$188.00	$70.64
11042 Removal of skin and tissue, 20.0 sq cm or less	130	72	$238.00	$64.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	61	$376.00	$139.79
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	66	23	$103.00	$27.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$437.00	$141.17
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	49	12	$330.00	$91.10
99221 Initial hospital inpatient care per day, typically 30 minutes	39	37	$279.00	$89.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$278.00	$104.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	669	163	$188.00	$71.22
11042 Removal of skin and tissue, 20.0 sq cm or less	334	112	$238.00	$63.59
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	249	33	$103.00	$27.91
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	120	20	$330.00	$91.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$437.00	$144.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	52	$278.00	$105.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$553.00	$187.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$376.00	$140.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	550	161	$179.11	$70.66
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	336	25	$98.03	$26.33
11042 Removal of skin and tissue, 20.0 sq cm or less	330	101	$227.07	$63.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	116	$531.77	$208.38
99213 Established patient office or other outpatient visit, typically 15 minutes	84	43	$188.00	$70.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$416.28	$142.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	42	$361.27	$143.28
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	52	13	$314.00	$91.92
11042 Removal of skin and tissue, 20.0 sq cm or less	46	25	$238.00	$64.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$265.00	$103.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$373.29	$107.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	290	32	$96.00	$30.42
99213 Established patient office or other outpatient visit, typically 15 minutes	229	87	$239.00	$74.28
11042 Removal of skin and tissue, 20.0 sq cm or less	203	71	$219.00	$68.10
99213 Established patient office or other outpatient visit, typically 15 minutes	145	65	$179.61	$74.49
11042 Removal of skin and tissue, 20.0 sq cm or less	102	47	$226.92	$67.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	96	$671.18	$218.88
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	83	15	$98.07	$30.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$488.00	$151.10
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	38	13	$309.00	$95.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	24	$467.48	$149.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$237.83	$78.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$419.44	$151.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$352.00	$109.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$361.76	$112.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	18	$81.00	$44.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$203.00	$108.94
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$135.00	$73.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$201.00	$108.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	21	$126.56	$48.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$217.69	$71.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	17	$67.82	$24.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$171.94	$69.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$478.61	$192.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	20	$104.98	$75.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$326.42	$209.47
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$100.00	$78.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$300.00	$174.43