DOUGLAS MARTIN, MD
Pulmonary Disease Physician · RIVERSIDE, RI
Individual Active NPI 1316981988
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 438 | 893 | $252,286 | $104,265 | $81,201 |
| 2023 | 412 | 855 | $238,990 | $100,658 | $77,800 |
| 2022 | 381 | 756 | $199,389 | $85,030 | $64,306 |
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 | 209 | $128 | $97 |
| 99291 | Critical care, first 30-74 minutes | 140 | $209 | $166 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 73 | $117 | $93 |
| 94729 | Test to examine how well the lungs exchange gases | 42 | $9 | $6 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 40 | $12 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 34 | $165 | $131 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 31 | $10 | $7 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | $171 | $133 |
| 94729 | Test to examine how well the lungs exchange gases | 28 | $57 | $46 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $168 | $129 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | $88 | $61 |
| 31652 | Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 19 | $213 | $170 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | MD12156 | RI |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD12156 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Rhode Island
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See all Pulmonary Disease Physician providers in Rhode Island →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.