LAWRENCE MACDONALD, MD
Pulmonary Disease Physician · WATERFORD, MI
Individual Active NPI 1104868967
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 416 | 939 | $230,591 | $92,779 | $66,460 |
| 2023 | 750 | 2,363 | $540,311 | $237,063 | $180,902 |
| 2022 | 848 | 2,921 | $631,820 | $286,388 | $218,916 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 226 | $74 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 100 | $79 | $51 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 88 | $105 | $69 |
| 99291 | Critical care, first 30-74 minutes | 53 | $200 | $159 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $144 | $92 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 47 | $113 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | $165 | $130 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $107 | $45 |
| 94729 | Test to examine how well the lungs exchange gases | 37 | $51 | $37 |
| 94726 | Test to determine lung volumes using sensors | 37 | $51 | $31 |
| 94010 | Test to measure expiratory airflow and volume | 32 | $25 | $14 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | $122 | $94 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 4301054690 | MI |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | LM054690 | MI |
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.