PAUL SIMONELLI, MD, PH.D.
Pulmonary Disease Physician · DANVILLE, PA
Individual Active NPI 1013918424
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 570 | 1,181 | $165,968 | $38,071 | $28,705 |
| 2023 | 384 | 740 | $128,487 | $31,650 | $24,600 |
| 2022 | 74 | 149 | $38,325 | $11,361 | $8,651 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 314 | $10 | $7 |
| 94729 | Test to examine how well the lungs exchange gases | 195 | $8 | $6 |
| 94726 | Test to determine lung volumes using sensors | 128 | $11 | $9 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 80 | $34 | $26 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 77 | $114 | $84 |
| 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 | 76 | $15 | $12 |
| 94010 | Test to measure expiratory airflow and volume | 51 | $8 | $6 |
| 94729 | Test to examine how well the lungs exchange gases | 35 | $51 | $41 |
| 94726 | Test to determine lung volumes using sensors | 34 | $50 | $40 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 27 | $11 | $8 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | $120 | $96 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $150 | $120 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | MD433286 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.