LUIS PINEDA, MD, MSHA
Specialist · BIRMINGHAM, AL
Individual Active NPI 1538125695
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 65 | 1,449 | $80,716 | $42,293 | $33,489 |
| 2023 | 189 | 53,829 | $828,237 | $402,117 | $313,025 |
| 2022 | 219 | 56,573 | $1,353,119 | $734,478 | $574,470 |
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 | 149 | $113 | $88 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 130 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 116 | $10 | $10 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 62 | $161 | $110 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 57 | $61 | $61 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 42 | $15 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $75 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | AP9400362 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Specialist providers in Alabama
- NPI 1366620122
- NPI 1801336425
- NPI 1336092097
- NPI 1598727711
- NPI 1962405910
- NPI 1386749885
- NPI 1275536385
- NPI 1992970685
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.