ALBERT ABOULAFIA, M.D.
Orthopaedic Surgery Physician · BALTIMORE, MD
Individual Active NPI 1447213608
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 238 | 557 | $560,635 | $129,536 | $100,424 |
| 2023 | 263 | 570 | $471,562 | $117,454 | $90,790 |
| 2022 | 168 | 439 | $269,284 | $92,537 | $71,109 |
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 | 110 | $133 | $97 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 79 | $94 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 42 | $99 | $73 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 31 | $229 | $175 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $168 | $122 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 27 | $187 | $142 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 24 | $186 | $148 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 15 | $67 | $54 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 15 | $140 | $112 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $137 | $109 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | D45627 | MD |
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.