MERHALA BALASUBRAMANIAM, M.D.
Pulmonary Disease Physician · GREAT FALLS, MT
Individual Active NPI 1629450333
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 268 | 821 | $201,700 | $71,067 | $54,740 |
| 2023 | 230 | 752 | $169,310 | $67,112 | $51,507 |
| 2022 | 210 | 609 | $110,809 | $49,104 | $37,588 |
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 | 138 | $95 | $70 |
| 99291 | Critical care, first 30-74 minutes | 122 | $196 | $154 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 95 | $75 | $60 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 94 | $10 | $7 |
| 94726 | Test to determine lung volumes using sensors | 68 | $11 | $8 |
| 94729 | Test to examine how well the lungs exchange gases | 68 | $9 | $6 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 36 | $141 | $106 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 29 | $177 | $131 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 18 | $68 | $54 |
| 94010 | Test to measure expiratory airflow and volume | 18 | $8 | $6 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $111 | $85 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 15 | $116 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 93868 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Montana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.