JOSE MENA PASQUEL, MD
Nephrology Physician · SHELBY, NC
Individual Active NPI 1275053217
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 546 | 2,230 | $864,365 | $235,076 | $179,208 |
| 2023 | 271 | 610 | $338,746 | $89,428 | $71,042 |
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 | 574 | $120 | $86 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 484 | $74 | $59 |
| 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 | 472 | $15 | $12 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 169 | $330 | $263 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 123 | $122 | $96 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 115 | $59 | $46 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 77 | $274 | $216 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $156 | $94 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 21 | $4 | $4 |
| 99496 | Transitional care management services for problem of high complexity | 18 | $261 | $208 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 15 | $58 | $47 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 2022-02994 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in North Carolina
- NPI 1053327171
- NPI 1821640525
- NPI 1194731224
- NPI 1598779803
- NPI 1114378940
- NPI 1568478683
- NPI 1528686474
- NPI 1528400488
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.