HAITHAM ABUGHNIA, MD
Internal Medicine Physician · CLARKS SUMMIT, PA
Individual Active NPI 1437346889
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,501 | 7,380 | $1,509,032 | $732,763 | $571,881 |
| 2023 | 1,137 | 5,802 | $1,259,526 | $594,464 | $448,333 |
| 2022 | 1,111 | 5,654 | $1,186,440 | $560,769 | $420,127 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 2,041 | $14 | $11 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,621 | $129 | $98 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 539 | $79 | $64 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 532 | $219 | $168 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 421 | $92 | $72 |
| J2785 | Injection, regadenoson, 0.1 mg | 351 | $6 | $5 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 222 | $69 | $55 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 158 | $63 | $51 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 147 | $423 | $338 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 146 | $168 | $127 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 145 | $759 | $605 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 98 | $132 | $104 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | MD432322 | PA |
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.