PHALGUN PRATIVADI, M.D.
Infectious Disease Physician · MONROEVILLE, PA
Individual Active NPI 1598920985
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 204 | 694 | $225,068 | $75,480 | $60,378 |
| 2023 | 251 | 863 | $215,401 | $88,598 | $69,276 |
| 2022 | 263 | 934 | $167,140 | $84,623 | $66,263 |
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 | 327 | $115 | $92 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 181 | $126 | $100 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 149 | $76 | $61 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | $168 | $135 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | MD448148 | PA |
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.