MENA SHEHATA
Pulmonary Disease Physician · ASHLAND, KY
Individual Active NPI 1609227255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 394 | 946 | $168,117 | $68,859 | $53,103 |
| 2023 | 413 | 1,218 | $190,085 | $86,255 | $66,942 |
| 2022 | 163 | 398 | $69,408 | $32,428 | $26,052 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 224 | $46 | $36 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 147 | $91 | $68 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 104 | $161 | $124 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 102 | $73 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 54 | $124 | $94 |
| 94729 | Test to examine how well the lungs exchange gases | 48 | $8 | $6 |
| 94726 | Test to determine lung volumes using sensors | 45 | $11 | $8 |
| 94010 | Test to measure expiratory airflow and volume | 42 | $7 | $5 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 25 | $9 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $61 | $45 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | $122 | $97 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $33 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 56895 | KY |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 56895 | KY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Kentucky
- NPI 1154756997
- NPI 1932206141
- NPI 1073938874
- NPI 1962500967
- NPI 1396189437
- NPI 1518306471
- NPI 1215238662
- NPI 1952823254
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.