ANSELMO GARCIA, MD
Pulmonary Disease Physician · PHOENIX, AZ
Individual Active NPI 1679791248
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 461 | 1,931 | $526,790 | $250,230 | $196,599 |
| 2023 | 425 | 1,430 | $361,897 | $176,195 | $138,832 |
| 2022 | 386 | 1,409 | $356,292 | $164,773 | $130,712 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 568 | $113 | $90 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 348 | $103 | $81 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 318 | $147 | $116 |
| 99291 | Critical care, first 30-74 minutes | 180 | $204 | $162 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 135 | $174 | $134 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | $124 | $97 |
| 99183 | Management of oxygen chamber therapy | 66 | $101 | $80 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | $165 | $130 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 60 | $61 | $48 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $161 | $118 |
| 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 | 22 | $46 | $37 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 14 | $99 | $79 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 34450 | AZ |
| Internal Medicine Physician | 207R00000X | M6626 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 34450 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Arizona
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- NPI 1700828787
- NPI 1265496665
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.