PETER FAIL, MD
Advanced Heart Failure and Transplant Cardiology Physician · HOUMA, LA
Individual Active NPI 1437156429
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,137 | 48,655 | $2,627,793 | $626,945 | $485,529 |
| 2023 | 981 | 27,437 | $1,909,143 | $529,237 | $409,310 |
| 2022 | 960 | 22,222 | $1,856,559 | $572,765 | $439,644 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 38,576 | $0 | $0 |
| 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 | 1,139 | $15 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 985 | $117 | $83 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 688 | $13 | $13 |
| 84460 | Liver enzyme (sgpt), level | 600 | $5 | $5 |
| 84450 | Liver enzyme (sgot), level | 599 | $5 | $5 |
| 84075 | Phosphatase (enzyme) level, alkaline | 598 | $5 | $5 |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 399 | $38 | $38 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 364 | $8 | $8 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 354 | $58 | $42 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 336 | $13 | $10 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 264 | $6 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | 11924R | LA |
| Cardiovascular Disease Physician | 207RC0000X | 11924R | LA | |
| Interventional Cardiology Physician | 207RI0011X | 11924R | LA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- 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.