KANCHANA HERATH, MD
Rheumatology Physician · PHILADELPHIA, PA
Individual Active NPI 1093058877
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,048 | 49,192 | $1,119,879 | $616,006 | $483,399 |
| 2023 | 884 | 44,370 | $952,894 | $525,293 | $410,736 |
| 2022 | 1,047 | 50,475 | $1,127,499 | $613,601 | $478,127 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3111 | Injection, romosozumab-aqqg, 1 mg | 23,730 | $11 | $9 |
| J0897 | Injection, denosumab, 1 mg | 7,200 | $25 | $20 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 619 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 474 | $121 | $86 |
| 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 | 266 | $16 | $12 |
| 96372 | Injection of drug or substance under skin or into muscle | 239 | $13 | $11 |
| 36415 | Insertion of needle into vein for collection of blood sample | 96 | $9 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | $86 | $59 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 60 | $158 | $120 |
| 77081 | Dxa bone density measurement of forearm, finger, hand, or foot | 51 | $9 | $9 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 51 | $3 | $3 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 45 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | MD465251 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in Pennsylvania
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- NPI 1588922215
- NPI 1104802719
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.