PRABHAT SINHA, MD
Internal Medicine Physician · TOMS RIVER, NJ
Individual Active NPI 1013988286
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,150 | 8,197 | $1,848,635 | $987,733 | $757,775 |
| 2023 | 917 | 6,473 | $1,405,123 | $738,787 | $569,045 |
| 2022 | 1,093 | 7,837 | $1,249,889 | $879,750 | $683,781 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,989 | $134 | $96 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,194 | $122 | $97 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 589 | $81 | $65 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 450 | $160 | $126 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 386 | $178 | $141 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 382 | $112 | $87 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 379 | $112 | $85 |
| 99238 | Hospital discharge day management, 30 minutes or less | 339 | $84 | $67 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 311 | $160 | $125 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 302 | $63 | $50 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 257 | $80 | $62 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 247 | $94 | $64 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | MA68270 | NJ |
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.