PHILIP DETRANA, M.D.
Pulmonary Disease Physician · SHEBOYGAN, WI
Individual Active NPI 1013992643
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 418 | 986 | $700,930 | $74,840 | $55,731 |
| 2023 | 409 | 1,037 | $726,885 | $81,522 | $60,713 |
| 2022 | 359 | 764 | $573,333 | $72,362 | $54,331 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94010 | Test to measure expiratory airflow and volume | 155 | $22 | $16 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 144 | $0 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 114 | $112 | $80 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 108 | $120 | $85 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 80 | $165 | $129 |
| 95810 | Sleep study in sleep lab (6 years or older) | 77 | $106 | $76 |
| 94729 | Test to examine how well the lungs exchange gases | 50 | $52 | $39 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 47 | $36 | $27 |
| 94726 | Test to determine lung volumes using sensors | 47 | $52 | $38 |
| 99291 | Critical care, first 30-74 minutes | 37 | $195 | $155 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 24 | $39 | $28 |
| 94618 | Test for exercise-induced lung stress | 22 | $32 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 36416 | WI |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 36416 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.