PRASHANTH PALWAI, MD
Rheumatology Physician · KINGWOOD, TX
Individual Active NPI 1225071855
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 294 | 121,302 | $3,671,874 | $1,388,913 | $1,096,544 |
| 2023 | 274 | 110,326 | $3,186,249 | $1,108,565 | $875,721 |
| 2022 | 286 | 71,898 | $2,827,277 | $1,073,688 | $846,679 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 94,000 | $5 | $4 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 16,650 | $43 | $34 |
| J7050 | Infusion, normal saline solution, 250 cc | 552 | $1 | $1 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 335 | $123 | $86 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 274 | $67 | $54 |
| 96361 | Infusion into a vein for hydration, each additional hour | 273 | $12 | $9 |
| 96372 | Injection of drug or substance under skin or into muscle | 208 | $14 | $9 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 205 | $59 | $46 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | $1 | $1 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 80 | $161 | $115 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 74 | $122 | $97 |
| 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 | 54 | $16 | $12 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | L 9414 | TX |
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.