MARVIN SEXTON, MD
Pulmonary Disease Physician · DOTHAN, AL
Individual Active NPI 1659365138
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,873 | 7,428 | $1,033,346 | $454,415 | $350,820 |
| 2023 | 2,049 | 7,289 | $1,204,995 | $454,274 | $355,471 |
| 2022 | 1,560 | 4,209 | $821,595 | $341,756 | $277,855 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 3,319 | $58 | $46 |
| 94729 | Test to examine how well the lungs exchange gases | 565 | $49 | $36 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 406 | $39 | $29 |
| 71046 | X-ray of chest, 2 views | 400 | $30 | $23 |
| 94010 | Test to measure expiratory airflow and volume | 384 | $24 | $18 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 329 | $34 | $26 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 211 | $154 | $118 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 193 | $74 | $58 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 165 | $45 | $36 |
| 94726 | Test to determine lung volumes using sensors | 154 | $49 | $36 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 152 | $109 | $87 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 115 | $112 | $86 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 21089 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Alabama
- NPI 1932193414
- NPI 1013901594
- NPI 1699733683
- NPI 1679717342
- NPI 1710080338
- NPI 1912987785
- NPI 1558356881
- NPI 1518160605
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.