PHILIP FORMICA, MD
Advanced Heart Failure and Transplant Cardiology Physician · BURLINGTON, MA
Individual Active NPI 1184883209
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,455 | 2,720 | $738,831 | $193,528 | $144,446 |
| 2023 | 1,640 | 2,856 | $683,455 | $188,039 | $144,740 |
| 2022 | 1,546 | 2,960 | $664,574 | $204,591 | $155,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 577 | $9 | $7 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 309 | $72 | $53 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 301 | $132 | $95 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 277 | $84 | $66 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 252 | $15 | $11 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 183 | $205 | $143 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 80 | $184 | $148 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 75 | $15 | $11 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 75 | $22 | $17 |
| 93308 | Ultrasound of heart, follow-up | 62 | $26 | $21 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 56 | $3 | $3 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 39 | $24 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | 256905 | MA |
| Cardiovascular Disease Physician | 207RC0000X | 256905 | MA | |
| Nuclear Cardiology Physician | 207UN0901X | 256905 | MA |
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.