DONALD ELTON, M.D.
Pulmonary Disease Physician · KISSIMMEE, FL
Individual Active NPI 1538126685
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 507 | 3,440 | $554,806 | $255,239 | $199,109 |
| 2023 | 424 | 2,524 | $480,695 | $224,977 | $175,392 |
| 2022 | 479 | 3,368 | $638,408 | $288,375 | $224,350 |
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 | 361 | $116 | $92 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 341 | $123 | $92 |
| 99291 | Critical care, first 30-74 minutes | 289 | $210 | $167 |
| 94010 | Test to measure expiratory airflow and volume | 208 | $26 | $19 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 165 | $77 | $61 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 136 | $88 | $67 |
| 94726 | Test to determine lung volumes using sensors | 111 | $52 | $40 |
| 94729 | Test to examine how well the lungs exchange gases | 107 | $53 | $41 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 77 | $169 | $134 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $163 | $119 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $128 | $102 |
| 71250 | Ct scan of chest without contrast | 15 | $123 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | ME62191 | FL |
| Specialist | 174400000X | 14158 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Florida
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.