KETAN HIRAPARA, MD
Pain Medicine Physician · EDISON, NJ
Individual Active NPI 1346602562
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 445 | 6,514 | $5,680,843 | $909,107 | $722,394 |
| 2023 | 388 | 3,570 | $5,845,512 | $759,607 | $606,287 |
| 2022 | 354 | 2,867 | $2,560,711 | $484,293 | $385,511 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 920 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 886 | $134 | $102 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 415 | $58 | $45 |
| 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 | 390 | $17 | $14 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 346 | $98 | $75 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 290 | $72 | $56 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 144 | $106 | $106 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 109 | $123 | $95 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 87 | $204 | $156 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 80 | $182 | $138 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 79 | $152 | $152 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 65 | $59 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ✓ | 25MA10736900 | NJ |
| Psychiatry Physician | 2084P0800X | 25MA10736900 | NJ | |
| Interventional Pain Medicine Physician | 208VP0014X | 25MA10736900 | 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.