EDLIRA TAM, D.O.
Advanced Heart Failure and Transplant Cardiology Physician · STONY BROOK, NY
Individual Active NPI 1265850093
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 361 | 1,859 | $492,022 | $190,373 | $146,494 |
| 2023 | 351 | 1,475 | $406,725 | $151,599 | $114,325 |
| 2022 | 316 | 1,005 | $348,275 | $137,648 | $106,471 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 422 | $17 | $13 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 410 | $212 | $159 |
| 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 | 165 | $19 | $15 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 149 | $136 | $109 |
| 99291 | Critical care, first 30-74 minutes | 95 | $246 | $198 |
| 93750 | Evaluation of lower heart chamber assist device | 62 | $61 | $48 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 59 | $199 | $156 |
| 93750 | Evaluation of lower heart chamber assist device | 47 | $47 | $37 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 44 | $260 | $191 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 | $151 | $119 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 14 | $243 | $195 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $198 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | 309804 | NY |
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.