BALAJI PRATAP, MD
Cardiovascular Disease Physician · MIDDLETOWN, NY
Individual Active NPI 1063725471
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,740 | 10,086 | $2,891,205 | $1,283,053 | $1,018,812 |
| 2023 | 1,564 | 8,520 | $2,229,554 | $1,061,467 | $839,045 |
| 2022 | 1,519 | 8,570 | $2,203,779 | $953,225 | $758,917 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 4,128 | $120 | $96 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 926 | $130 | $104 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 918 | $172 | $137 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 758 | $86 | $69 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 580 | $9 | $7 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 575 | $202 | $161 |
| 99291 | Critical care, first 30-74 minutes | 442 | $237 | $189 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 432 | $74 | $59 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 324 | $188 | $150 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 307 | $145 | $110 |
| J2785 | Injection, regadenoson, 0.1 mg | 112 | $6 | $5 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 79 | $16 | $12 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 271989 | NY |
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.