AJAY RATHORE, M.D.
Nephrology Physician · NEWPORT NEWS, VA
Individual Active NPI 1023372679
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 313 | 1,087 | $311,155 | $168,273 | $131,110 |
| 2023 | 309 | 1,184 | $336,308 | $184,820 | $145,819 |
| 2022 | 376 | 1,404 | $395,244 | $224,508 | $175,861 |
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 | 225 | $94 | $65 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 189 | $109 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 179 | $76 | $60 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 140 | $346 | $277 |
| 99291 | Critical care, first 30-74 minutes | 108 | $191 | $153 |
| 90966 | Home dialysis services per month (20 years or older) | 55 | $287 | $225 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 46 | $287 | $226 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $64 | $46 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 | $164 | $122 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | $127 | $98 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 0101261994 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Virginia
- NPI 1053528307
- NPI 1679096838
- NPI 1861449704
- NPI 1952348765
- NPI 1306401724
- NPI 1992267264
- NPI 1942417183
- NPI 1477822799
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.