SANJAY VADGAMA, M.D.
Pulmonary Disease Physician · SHERMAN OAKS, CA
Individual Active NPI 1679548556
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 640 | 4,650 | $1,074,392 | $492,725 | $390,547 |
| 2023 | 690 | 3,753 | $970,208 | $448,117 | $357,521 |
| 2022 | 640 | 3,774 | $1,002,957 | $455,024 | $370,672 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 3,203 | $81 | $65 |
| 99291 | Critical care, first 30-74 minutes | 575 | $216 | $172 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 264 | $179 | $142 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 150 | $138 | $101 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 64 | $114 | $91 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 34 | $78 | $62 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 28 | $139 | $111 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $171 | $122 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | A80650 | CA |
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.