ROY AVALOS, M.D.
Cardiovascular Disease Physician · ENCINITAS, CA
Individual Active NPI 1154399632
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,360 | 6,360 | $1,989,841 | $783,191 | $607,940 |
| 2023 | 1,125 | 4,405 | $1,524,646 | $622,960 | $480,242 |
| 2022 | 1,040 | 3,619 | $1,282,333 | $529,277 | $403,018 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 788 | $192 | $145 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 698 | $96 | $76 |
| J2785 | Injection, regadenoson, 0.1 mg | 632 | $7 | $6 |
| 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 | 432 | $17 | $13 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 426 | $70 | $53 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 379 | $120 | $96 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 357 | $68 | $54 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 352 | $493 | $378 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 282 | $213 | $165 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 191 | $176 | $139 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 153 | $42 | $33 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 153 | $53 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | A68893 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Cardiovascular Disease Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.