ADAM FALCONE, M.D.
Interventional Cardiology Physician · WACO, TX
Individual Active NPI 1558534958
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,451 | 5,067 | $2,323,116 | $634,393 | $487,952 |
| 2023 | 1,589 | 4,406 | $2,638,649 | $616,003 | $478,755 |
| 2022 | 1,651 | 4,425 | $2,296,345 | $570,671 | $436,964 |
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 | 948 | $122 | $84 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 697 | $14 | $9 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 623 | $129 | $103 |
| J2785 | Injection, regadenoson, 0.1 mg | 372 | $7 | $6 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 251 | $44 | $34 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 200 | $47 | $37 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 175 | $66 | $50 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 172 | $60 | $45 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 149 | $8 | $6 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 127 | $183 | $140 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 113 | $67 | $53 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 90 | $392 | $312 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | N8781 | TX |
| Cardiovascular Disease Physician | 207RC0000X | N8781 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.