JOSEPH PAPROTA, M.D.
Pulmonary Disease Physician · MIAMI BEACH, FL
Individual Active NPI 1619183829
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 366 | 1,121 | $604,393 | $133,848 | $105,869 |
| 2023 | 348 | 970 | $456,497 | $129,261 | $102,284 |
| 2022 | 446 | 1,087 | $314,305 | $124,607 | $91,130 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 215 | $231 | $184 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $134 | $104 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 150 | $84 | $67 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | $126 | $99 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $174 | $138 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | $141 | $110 |
| 94729 | Test to examine how well the lungs exchange gases | 33 | $9 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $97 | $77 |
| 94010 | Test to measure expiratory airflow and volume | 30 | $9 | $7 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | $184 | $148 |
| 94726 | Test to determine lung volumes using sensors | 18 | $12 | $10 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 16 | $143 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | ME125300 | FL |
| Pulmonary Disease Physician | 207RP1001X | MD427201 | 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.