MARCELLA FRANK, DO
Sleep Medicine (Internal Medicine) Physician · HAMILTON, NJ
Individual Active NPI 1083611255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 307 | 567 | $290,415 | $74,484 | $57,092 |
| 2023 | 274 | 496 | $252,603 | $62,033 | $48,032 |
| 2022 | 225 | 384 | $208,335 | $44,039 | $32,637 |
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 | 125 | $101 | $71 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 101 | $138 | $107 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 56 | $125 | $97 |
| 95810 | Sleep study in sleep lab (6 years or older) | 49 | $120 | $96 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $180 | $137 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 40 | $194 | $153 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $138 | $105 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 23 | $127 | $102 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $149 | $119 |
| 95810 | Sleep study in sleep lab (6 years or older) | 13 | $123 | $98 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 13 | $133 | $107 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 11 | $40 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 25MB03633100 | NJ |
| Pulmonary Disease Physician | 207RP1001X | MB036331 | NJ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MB036331 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sleep Medicine (Internal Medicine) Physician providers in New Jersey
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- NPI 1053401331
- NPI 1902858665
- NPI 1033245311
- NPI 1275405730
- NPI 1407358666
- NPI 1538693080
See all Sleep Medicine (Internal Medicine) Physician providers in New Jersey →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.