PATRICK PRATH, MD
Medical Oncology Physician · SUGAR LAND, TX
Individual Active NPI 1659799708
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 322 | 1,281 | $333,049 | $126,416 | $93,580 |
| 2023 | 317 | 1,003 | $314,279 | $118,611 | $89,473 |
| 2022 | 316 | 945 | $316,181 | $119,554 | $90,147 |
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 | 281 | $123 | $90 |
| 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 | 281 | $16 | $13 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 190 | $87 | $66 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 133 | $172 | $125 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 82 | $122 | $88 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 55 | $208 | $152 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 46 | $30 | $23 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 43 | $162 | $120 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | $75 | $58 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 38 | $84 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $160 | $110 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | $125 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ✓ | S4548 | TX |
| Hematology (Internal Medicine) Physician | 207RH0000X | S4548 | TX | |
| Hematology & Oncology Physician | 207RH0003X | S4548 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Medical Oncology Physician providers in Texas
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- NPI 1932373289
- NPI 1346331063
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.