SUE FESSLER, MD
Pulmonary Disease Physician · KALISPELL, MT
Individual Active NPI 1174512636
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 327 | 738 | $190,868 | $81,096 | $62,394 |
| 2023 | 396 | 912 | $186,134 | $84,789 | $64,059 |
| 2022 | 417 | 943 | $177,469 | $88,397 | $68,979 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 174 | $205 | $161 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 129 | $92 | $68 |
| 99292 | Critical care, each additional 30 minutes | 88 | $103 | $81 |
| 94010 | Test to measure expiratory airflow and volume | 55 | $8 | $6 |
| 94729 | Test to examine how well the lungs exchange gases | 48 | $8 | $6 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $126 | $90 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 33 | $135 | $104 |
| 94726 | Test to determine lung volumes using sensors | 33 | $11 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 | $62 | $45 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 26 | $126 | $96 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 16 | $115 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 90139 | MT |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 90139 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Montana
- NPI 1811966393
- NPI 1275822405
- NPI 1669405866
- NPI 1407315401
- NPI 1659578052
- NPI 1205918992
- NPI 1649630526
- NPI 1740494913
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.