AMBARISH ATHAVALE, MD
Nephrology Physician · SAN DIEGO, CA
Individual Active NPI 1255647145
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 298 | 1,244 | $613,478 | $179,086 | $139,187 |
| 2023 | 283 | 1,015 | $515,914 | $160,921 | $125,477 |
| 2022 | 130 | 257 | $113,400 | $41,417 | $31,842 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 386 | $80 | $63 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 223 | $120 | $95 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 97 | $364 | $290 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 95 | $176 | $134 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 79 | $303 | $232 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $137 | $102 |
| 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 | 48 | $17 | $13 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 43 | $192 | $145 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | $100 | $75 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $177 | $133 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $133 | $106 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $232 | $165 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 036-127463 | IL |
| Internal Medicine Physician | 207R00000X | 036-127463 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in California
- NPI 1336440957
- NPI 1598824187
- NPI 1043215502
- NPI 1700963907
- NPI 1467683136
- NPI 1508485277
- NPI 1467410019
- NPI 1316997505
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.