PRAMTHESH DESAI, MD
Pulmonary Disease Physician · WILKES BARRE, PA
Individual Active NPI 1669426953
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,142 | 4,993 | $563,205 | $332,398 | $254,035 |
| 2023 | 1,180 | 5,214 | $572,985 | $356,126 | $275,732 |
| 2022 | 1,209 | 6,162 | $678,064 | $404,806 | $315,194 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 1,886 | $45 | $36 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 943 | $72 | $57 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 379 | $118 | $83 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 291 | $119 | $94 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 239 | $104 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 160 | $82 | $59 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 117 | $153 | $109 |
| 94729 | Test to examine how well the lungs exchange gases | 115 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 115 | $9 | $6 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 111 | $11 | $8 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 89 | $111 | $83 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 84 | $39 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | MD067122L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.