BHAVINKUMAR DALAL, MD
Pulmonary Disease Physician · ROYAL OAK, MI
Individual Active NPI 1477701878
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 279 | 548 | $277,412 | $87,470 | $68,404 |
| 2023 | 288 | 621 | $360,559 | $108,634 | $85,424 |
| 2022 | 278 | 563 | $334,363 | $96,099 | $75,468 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 181 | $120 | $96 |
| 99291 | Critical care, first 30-74 minutes | 96 | $217 | $173 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 | $175 | $138 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 49 | $98 | $75 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | $80 | $64 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 19 | $83 | $55 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | $136 | $93 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 14 | $604 | $482 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | $146 | $99 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 11 | $112 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 4301083952 | MI |
| Internal Medicine Physician | 207R00000X | 4301083952 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301083952 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Michigan
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- NPI 1740236652
- NPI 1699971713
- NPI 1518054543
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.