CARMI PUNZALAN, M.D.
Gastroenterology Physician · BURLINGTON, MA
Individual Active NPI 1053584037
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 263 | 530 | $258,849 | $71,220 | $54,495 |
| 2023 | 217 | 429 | $188,304 | $62,168 | $47,191 |
| 2022 | 234 | 544 | $209,398 | $75,051 | $56,581 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 171 | $148 | $108 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 149 | $124 | $99 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | $181 | $144 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $187 | $141 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | $100 | $73 |
| 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 | 23 | $17 | $14 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | $140 | $111 |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | $120 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 262302 | MA |
| Transplant Hepatology Physician | 207RT0003X | 262302 | MA | |
| Gastroenterology Physician | 207RG0100X | A140736 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.