ADAM PFLUM, M.D.
Cardiovascular Disease Physician · WILMINGTON, NC
Individual Active NPI 1649617416
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 818 | 2,175 | $813,544 | $216,534 | $165,709 |
| 2023 | 948 | 2,060 | $794,474 | $209,056 | $161,847 |
| 2022 | 638 | 1,318 | $504,159 | $157,901 | $122,217 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 429 | $13 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 216 | $120 | $83 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 161 | $11 | $9 |
| 36415 | Insertion of needle into vein for collection of blood sample | 118 | $9 | $9 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 108 | $221 | $169 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 101 | $169 | $121 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 98 | $8 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 89 | $155 | $116 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 89 | $15 | $12 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 66 | $8 | $6 |
| 85610 | Blood test, clotting time | 54 | $4 | $4 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 51 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 2017-00615 | NC |
| Interventional Cardiology Physician | 207RI0011X | 2017-00615 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Cardiovascular Disease Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.