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CASTA, DEXTERM.D. NPI 1194043034 Clinician

Internal Medicine · LITCHFIELD, MN

Specialty Internal Medicine — from billed Medicare claims
In practice about 23 years since medical school (class of 2003, self-reported to CMS)
Location LITCHFIELD, MN · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 74 codes billed · 7,962 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
CENTRACARE CLINIC SOUTHWEST LLC
2022–2026
CARRIS HEALTH LLC
2020–2022
COUNTY OF MEEKER
2020–2022
AFFILIATED COMMUNITY MEDICAL CENTERS, LTD
2019

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2022-07

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36415 Insertion of needle into vein for collection of blood sample
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
80053 Blood test, comprehensive group of blood chemicals
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
71046 X-ray of chest, 2 views
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
80048 Blood test, basic group of blood chemicals (calcium, total)
86140 Measurement c-reactive protein for detection of infection or inflammation
J0696 Injection, ceftriaxone sodium, per 250 mg
83036 Hemoglobin a1c level
84443 Blood test, thyroid stimulating hormone (tsh)
81001 Manual urinalysis test with examination using microscope, automated
85610 Blood test, clotting time
80061 Blood test, lipids (cholesterol and triglycerides)
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
96372 Injection of drug or substance under skin or into muscle
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
74019 X-ray of abdomen, 2 views
J1885 Injection, ketorolac tromethamine, per 15 mg
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
82306 Vitamin d-3 level
85018 Blood count, hemoglobin
77063 Screening 3d breast mammography
77067 Screening mammography
84484 Troponin (protein) analysis, quantitative
73562 X-ray of knee, 3 views
G0008 Administration of influenza virus vaccine
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days
87804 Detection test by immunoassay with direct visual observation for influenza virus
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
20610 Aspiration and/or injection of fluid from large joint
73502 X-ray of hip, 2-3 views
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
83690 Lipase (fat enzyme) level
G0103 Prostate cancer screening; prostate specific antigen test (psa)
73030 X-ray of shoulder, minimum of 2 views
83880 Natriuretic peptide (heart and blood vessel protein) level
85379 Coagulation function measurement, d-dimer; quantitative
83735 Magnesium level
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
84550 Uric acid level, blood
85007 Microscopic examination for white blood cells with manual cell count
90480 Admn sarscov2 vacc 1 dose
90653 Influenza vaccine, inactivated
91322 Sarscov2 vac 50 mcg/0.5ml im
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
71101 X-ray of ribs on side of body, minimum of 3 views
82746 Folic acid level, serum
85652 Red blood cell sedimentation rate, to detect inflammation, automated
96360 Infusion into a vein for hydration, 31-60 minutes
84153 Psa (prostate specific antigen) measurement, total
J7030 Infusion, normal saline solution , 1000 cc
84100 Phosphate level
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
82570 Creatinine level to test for kidney function or muscle injury
82607 Cyanocobalamin (vitamin b-12) level
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
94640 Inhalation treatment for airway obstruction or sputum production
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
G0009 Administration of pneumococcal vaccine
83540 Iron level
83550 Iron binding capacity
85014 Red blood cell concentration measurement
90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
82728 Ferritin (blood protein) level
93246 Heart rhythm recording of continous external ekg over 8-15 days
82043 Urine microalbumin (protein) level
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.