ALBERTO PINZON ARDILA, MD
Epilepsy Physician · MIAMI, FL
Individual Active NPI 1154643120
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 423 | 4,603 | $913,346 | $218,071 | $169,829 |
| 2023 | 469 | 3,158 | $793,666 | $190,325 | $147,306 |
| 2022 | 600 | 2,094 | $818,745 | $199,821 | $155,961 |
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 | 495 | $128 | $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 | 347 | $17 | $14 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 181 | $58 | $45 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 132 | $218 | $173 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 93 | $140 | $109 |
| G0444 | Annual depression screening, 5 to 15 minutes | 35 | $19 | $19 |
| 95700 | Measurement of brain wave activity (eeg), continuous | 29 | $256 | $204 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $178 | $133 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $191 | $152 |
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 21 | $221 | $176 |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring | 21 | $1,024 | $817 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 20 | $58 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | ✓ | ME104275 | FL |
| Neurology Physician | 2084N0400X | ME104275 | FL | |
| Epilepsy Physician | 2084E0001X | 2025049644 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Epilepsy Physician providers in Florida
- NPI 1407173974
- NPI 1992292072
- NPI 1407238421
- NPI 1265630735
- NPI 1225532104
- NPI 1487093654
- NPI 1245542547
- NPI 1053937730
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.