EDMUNDO RUBIO, MD
Pulmonary Disease Physician · ROANOKE, VA
Individual Active NPI 1619073491
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 559 | 1,118 | $569,612 | $115,157 | $88,562 |
| 2023 | 591 | 1,091 | $379,239 | $119,380 | $93,239 |
| 2022 | 534 | 1,064 | $235,928 | $114,689 | $88,618 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 179 | $202 | $161 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 149 | $116 | $85 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 116 | $113 | $90 |
| 95810 | Sleep study in sleep lab (6 years or older) | 103 | $111 | $79 |
| 94729 | Test to examine how well the lungs exchange gases | 63 | $8 | $7 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 60 | $75 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 58 | $86 | $62 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 48 | $10 | $8 |
| 94726 | Test to determine lung volumes using sensors | 46 | $11 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 29 | $133 | $90 |
| 94010 | Test to measure expiratory airflow and volume | 27 | $8 | $6 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 23 | $126 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 0101-243666 | VA |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 17151 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 17151 | MS | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101-243666 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Virginia
- NPI 1316444201
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- NPI 1548332208
- NPI 1073044061
- NPI 1538104849
- NPI 1730281726
- NPI 1518370030
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.