MICHAEL PEARCE, MD
Pulmonary Disease Physician · PROVO, UT
Individual Active NPI 1568478832
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 270 | 913 | $133,163 | $58,594 | $44,988 |
| 2023 | 314 | 1,697 | $185,189 | $100,354 | $77,516 |
| 2022 | 338 | 1,765 | $209,692 | $119,647 | $92,509 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 180 | $86 | $61 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 101 | $112 | $88 |
| 94729 | Test to examine how well the lungs exchange gases | 68 | $8 | $6 |
| 94010 | Test to measure expiratory airflow and volume | 50 | $8 | $6 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | $74 | $59 |
| 99291 | Critical care, first 30-74 minutes | 35 | $202 | $161 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34 | $164 | $131 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 32 | $10 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $118 | $94 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 22 | $11 | $9 |
| 94726 | Test to determine lung volumes using sensors | 18 | $11 | $8 |
| 94729 | Test to examine how well the lungs exchange gases | 11 | $8 | $7 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 901829361205 | UT |
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.