MOHAMED HEIKAL, MD
Pulmonary Disease Physician · BLOOMINGTON, IN
Individual Active NPI 1245451160
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 352 | 477 | $111,394 | $52,881 | $37,370 |
| 2023 | 343 | 546 | $105,395 | $56,015 | $40,402 |
| 2022 | 353 | 606 | $117,838 | $64,182 | $46,143 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 126 | $118 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 99 | $83 | $56 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 54 | $167 | $122 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $155 | $111 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 33 | $110 | $75 |
| 95810 | Sleep study in sleep lab (6 years or older) | 28 | $110 | $75 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $103 | $65 |
| 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 | 20 | $41 | $32 |
| G0398 | Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation | 12 | $36 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 01072195A | IN |
| Internal Medicine Physician | 207R00000X | 01072195A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01072195A | IN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01072195A | IN | |
| Pediatric Sleep Medicine Physician | 2080S0012X | 01072195A | IN |
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.