GUILLERMO BALLARINO, M.D.
Pulmonary Disease Physician · DANBURY, CT
Individual Active NPI 1386810802
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 582 | 1,517 | $520,464 | $152,977 | $117,900 |
| 2023 | 585 | 1,380 | $529,330 | $154,740 | $120,044 |
| 2022 | 531 | 1,365 | $503,840 | $155,271 | $122,232 |
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 | 195 | $139 | $99 |
| 99291 | Critical care, first 30-74 minutes | 152 | $223 | $178 |
| 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 | 143 | $18 | $14 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 133 | $126 | $101 |
| 94729 | Test to examine how well the lungs exchange gases | 84 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 82 | $12 | $10 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 80 | $11 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 76 | $194 | $137 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 59 | $99 | $71 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $181 | $134 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | $184 | $147 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 35 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 050532 | CT |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 050532 | CT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Connecticut →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.