DANIEL BALMACEDA, M.D.
Pulmonary Disease Physician · OVERLAND PARK, KS
Individual Active NPI 1104919588
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 260 | 1,471 | $253,895 | $112,558 | $89,455 |
| 2023 | 292 | 1,793 | $309,273 | $132,646 | $103,515 |
| 2022 | 324 | 1,571 | $243,132 | $112,310 | $88,473 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 185 | $119 | $96 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 109 | $79 | $63 |
| 99291 | Critical care, first 30-74 minutes | 84 | $213 | $170 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $90 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 55 | $128 | $101 |
| 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 | 49 | $17 | $13 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | $131 | $105 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 | $165 | $132 |
| 94726 | Test to determine lung volumes using sensors | 13 | $12 | $9 |
| 94010 | Test to measure expiratory airflow and volume | 13 | $24 | $18 |
| 94729 | Test to examine how well the lungs exchange gases | 12 | $9 | $7 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 12 | $36 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 0428744 | KS |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.