RAHUL KALE, MD
Pulmonary Disease Physician · SAN JUAN CAPISTRANO, CA
Individual Active NPI 1447330915
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 367 | 3,006 | $1,011,688 | $451,177 | $359,891 |
| 2023 | 327 | 2,807 | $905,528 | $398,015 | $316,469 |
| 2022 | 342 | 1,832 | $760,761 | $304,126 | $245,456 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 1,282 | $165 | $132 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 509 | $125 | $100 |
| 99291 | Critical care, first 30-74 minutes | 374 | $221 | $177 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 168 | $198 | $154 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 82 | $35 | $27 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 68 | $103 | $83 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 57 | $32 | $26 |
| 99292 | Critical care, each additional 30 minutes | 46 | $111 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 45 | $183 | $146 |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 45 | $32 | $26 |
| 99497 | Advance care planning, first 30 minutes | 32 | $80 | $64 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 31 | $195 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | A86820 | CA |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A86820 | CA |
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 California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.