CARLOS ALCALA MARQUEZ, M.D.
Pulmonary Disease Physician · SAN JUAN, PR
Individual Active NPI 1295066124
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 31 | 315 | $30,011 | $20,927 | $15,568 |
| 2023 | 51 | 431 | $57,439 | $43,167 | $32,921 |
| 2022 | 40 | 360 | $51,448 | $39,147 | $30,130 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94200 | Test to measure largest amount of air breathed in an out | 48 | $15 | $11 |
| 94375 | Test to measure rate of airflow | 48 | $38 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 43 | $89 | $62 |
| 94664 | Evaluation of use of breathing device | 38 | $18 | $13 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 31 | $8 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 17780 | PR |
| Pulmonary Disease Physician | 207RP1001X | 247245 | 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.