CAROL ABALIHI, M.D.
Internal Medicine Physician · EL PASO, TX
Individual Active NPI 1326136243
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 5,194 | $9,873,314 | $7,787,564 | $6,198,905 |
| 2023 | 210 | 2,824 | $430,185 | $287,740 | $223,231 |
| 2022 | 188 | 3,638 | $456,673 | $302,327 | $236,348 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 428 | $148 | $116 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 314 | $61 | $46 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 128 | $178 | $119 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 107 | $123 | $86 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | $87 | $66 |
| 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 | 71 | $16 | $12 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 34 | $104 | $83 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | $8 | $8 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | $125 | $125 |
| 99497 | Advance care planning, first 30 minutes | 29 | $73 | $58 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 23 | $47 | $37 |
| 81002 | Urinalysis, manual test | 22 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | N1507 | TX |
| Internal Medicine Physician | 207R00000X | MA64547 | NJ | |
| Internal Medicine Physician | 207R00000X | MD2011-0215 | NM | |
| Pediatrics Physician | 208000000X | MD2011-0215 | NM | |
| Pediatrics Physician | 208000000X | N1507 | TX | |
| Pediatrics Physician | 208000000X | MA64547 | NJ |
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.