ANTHONY THEODORIS, M.D.
Pulmonary Disease Physician · PORT JEFFERSON STATION, NY
Individual Active NPI 1578675971
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 893 | 8,547 | $1,376,753 | $589,255 | $461,600 |
| 2023 | 771 | 10,950 | $1,383,359 | $669,216 | $528,857 |
| 2022 | 742 | 16,175 | $1,582,876 | $832,798 | $662,660 |
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 | 616 | $151 | $116 |
| 94375 | Test to measure rate of airflow | 483 | $46 | $36 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 404 | $135 | $107 |
| 94200 | Test to measure largest amount of air breathed in an out | 395 | $18 | $14 |
| 94726 | Test to determine lung volumes using sensors | 394 | $68 | $53 |
| 94729 | Test to examine how well the lungs exchange gases | 394 | $68 | $54 |
| 99291 | Critical care, first 30-74 minutes | 321 | $244 | $194 |
| 96372 | Injection of drug or substance under skin or into muscle | 287 | $17 | $13 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 233 | $150 | $115 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 222 | $90 | $72 |
| 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 | 187 | $19 | $15 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 142 | $107 | $84 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 221756-1 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1093050007
- NPI 1891254728
- NPI 1346401262
- NPI 1114026853
- NPI 1851563431
- NPI 1093750028
- NPI 1518102607
- NPI 1225748494
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.