KEVIN FUSSELL, M.D.
Pulmonary Disease Physician · ENCINITAS, CA
Individual Active NPI 1164404901
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 740 | 1,785 | $752,606 | $232,854 | $180,434 |
| 2023 | 611 | 1,453 | $586,838 | $188,820 | $144,595 |
| 2022 | 577 | 1,718 | $619,878 | $223,114 | $172,829 |
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 | 572 | $120 | $96 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 278 | $137 | $103 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 191 | $97 | $68 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 173 | $176 | $140 |
| 99291 | Critical care, first 30-74 minutes | 123 | $212 | $167 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 69 | $44 | $34 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 64 | $192 | $150 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 51 | $79 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 50 | $177 | $134 |
| 94726 | Test to determine lung volumes using sensors | 45 | $63 | $48 |
| 94729 | Test to examine how well the lungs exchange gases | 45 | $65 | $49 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 40 | $232 | $171 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 0101269338 | VA |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C172323 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 067298 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101269338 | VA | |
| Pulmonary Disease Physician | 207RP1001X | C172323 | CA |
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.