FRANKLIN MCGUIRE, MD
Pulmonary Disease Physician · HICKORY, NC
Individual Active NPI 1467419358
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 245 | 1,046 | $363,150 | $80,692 | $63,036 |
| 2023 | 271 | 834 | $249,882 | $82,234 | $62,798 |
| 2022 | 448 | 1,368 | $441,662 | $148,060 | $115,599 |
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 | 164 | $91 | $72 |
| 94729 | Test to examine how well the lungs exchange gases | 109 | $8 | $6 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 106 | $109 | $87 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 101 | $9 | $8 |
| 94726 | Test to determine lung volumes using sensors | 93 | $11 | $9 |
| 99291 | Critical care, first 30-74 minutes | 54 | $198 | $158 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 | $62 | $48 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 45 | $43 | $34 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 38 | $135 | $104 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | $118 | $86 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 23 | $125 | $86 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | $161 | $123 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 200100169 | NC |
| Internal Medicine Physician | 207R00000X | 200100169 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 200100169 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in North Carolina
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See all Pulmonary Disease Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.