THOMAS FALCO, M.D.
Cardiovascular Disease Physician · RIVERHEAD, NY
Individual Active NPI 1659374973
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,730 | 8,488 | $4,500,612 | $691,074 | $517,058 |
| 2023 | 1,752 | 7,697 | $4,724,184 | $680,428 | $514,820 |
| 2022 | 1,540 | 6,118 | $3,495,706 | $709,348 | $529,343 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 1,583 | $118 | $87 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,446 | $146 | $105 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,178 | $17 | $12 |
| 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 | 1,125 | $18 | $14 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 714 | $25 | $19 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 484 | $33 | $24 |
| J2785 | Injection, regadenoson, 0.1 mg | 248 | $7 | $5 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 233 | $40 | $31 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 226 | $212 | $161 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 211 | $124 | $97 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 178 | $9 | $7 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 148 | $219 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 148169 | NY |
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.