SUMANTH PRABHU, MD
Advanced Heart Failure and Transplant Cardiology Physician · SAINT LOUIS, MO
Individual Active NPI 1265417992
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 83 | 167 | $57,513 | $12,573 | $9,300 |
| 2023 | 77 | 199 | $62,602 | $18,786 | $14,773 |
| 2022 | 61 | 141 | $44,413 | $13,460 | $10,484 |
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 | 37 | $123 | $90 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 23 | $14 | $10 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 20 | $65 | $50 |
| 93356 | Heart muscle strain imaging | 16 | $11 | $8 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $125 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | 2021038192 | MO |
| Internal Medicine Physician | 207R00000X | 2021038192 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 2021038192 | MO |
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.