MICHAEL LAGNESE, D.O.
Pulmonary Disease Physician · POTTSTOWN, PA
Individual Active NPI 1538148465
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 487 | 947 | $262,466 | $117,405 | $88,415 |
| 2023 | 552 | 889 | $235,682 | $103,235 | $79,101 |
| 2022 | 570 | 1,080 | $240,137 | $108,607 | $83,605 |
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 | 213 | $119 | $95 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 125 | $79 | $63 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | $175 | $139 |
| 99291 | Critical care, first 30-74 minutes | 97 | $215 | $167 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 78 | $130 | $57 |
| 99292 | Critical care, each additional 30 minutes | 73 | $108 | $86 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 51 | $185 | $135 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | $132 | $105 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $93 | $55 |
| 94729 | Test to examine how well the lungs exchange gases | 16 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 15 | $12 | $9 |
| 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 | 13 | $43 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | OS008616L | PA |
| Hospitalist Physician | 208M00000X | OS008616L | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS008616L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Pennsylvania
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See all Pulmonary Disease Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.