RENE FRANCO-ELIZONDO, MD
Pulmonary Disease Physician · SAINT CLAIR SHORES, MI
Individual Active NPI 1225297559
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 487 | 1,763 | $421,727 | $227,973 | $179,458 |
| 2023 | 568 | 1,587 | $385,298 | $202,082 | $157,817 |
| 2022 | 622 | 1,681 | $409,702 | $211,159 | $163,223 |
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 | 655 | $126 | $100 |
| 99291 | Critical care, first 30-74 minutes | 166 | $227 | $178 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 157 | $135 | $105 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 115 | $182 | $143 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 80 | $84 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $95 | $67 |
| 94726 | Test to determine lung volumes using sensors | 39 | $58 | $46 |
| 94729 | Test to examine how well the lungs exchange gases | 39 | $58 | $45 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 38 | $40 | $31 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 38 | $8 | $7 |
| 94618 | Test for exercise-induced lung stress | 28 | $36 | $27 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 28 | $102 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 61389-20 | WI |
| Internal Medicine Physician | 207R00000X | 232552 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MT200455 | PA | |
| Pulmonary Disease Physician | 207RP1001X | MT200455 | PA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 4301096230 | MI |
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.