DOUGLAS PRISCO, MD.
Pulmonary Disease Physician · MISSION HILLS, CA
Individual Active NPI 1154537058
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 969 | $277,972 | $100,043 | $74,455 |
| 2023 | 188 | 752 | $261,809 | $95,505 | $72,478 |
| 2022 | 167 | 830 | $276,163 | $103,453 | $79,114 |
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 | 299 | $137 | $96 |
| 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 | 192 | $17 | $14 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 123 | $122 | $97 |
| 99291 | Critical care, first 30-74 minutes | 59 | $216 | $172 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 41 | $95 | $74 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 40 | $231 | $165 |
| 94729 | Test to examine how well the lungs exchange gases | 37 | $65 | $49 |
| 94726 | Test to determine lung volumes using sensors | 37 | $64 | $49 |
| 71046 | X-ray of chest, 2 views | 33 | $25 | $18 |
| 94010 | Test to measure expiratory airflow and volume | 30 | $31 | $25 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | $178 | $140 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 15 | $194 | $144 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | A108810 | CA |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A108810 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 236893 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A108810 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 236893 | NY | |
| Internal Medicine Physician | 207R00000X | A108810 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary 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.