PRATHAP KUMAR SIMHADRI, MD
Nephrology Physician · DAYTONA BEACH, FL
Individual Active NPI 1548410574
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 661 | 3,629 | $1,122,314 | $362,692 | $282,528 |
| 2023 | 570 | 2,965 | $913,889 | $304,403 | $238,888 |
| 2022 | 603 | 3,909 | $1,076,341 | $355,254 | $282,169 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,068 | $77 | $61 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 828 | $9 | $7 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 412 | $124 | $90 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 303 | $116 | $92 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 239 | $344 | $274 |
| 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 | 213 | $16 | $13 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 203 | $170 | $133 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 112 | $128 | $102 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 58 | $162 | $116 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 48 | $285 | $227 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 35 | $88 | $56 |
| 99291 | Critical care, first 30-74 minutes | 21 | $211 | $168 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | ME121973 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Florida
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- NPI 1720075138
- NPI 1508096330
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.