RAFAEL PELAYO, MD
Pediatric Sleep Medicine Physician · STANFORD, CA
Individual Active NPI 1699822940
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 366 | 491 | $344,077 | $63,930 | $47,133 |
| 2023 | 289 | 372 | $218,132 | $48,019 | $34,387 |
| 2022 | 216 | 283 | $146,049 | $36,240 | $27,044 |
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 | 124 | $121 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 110 | $152 | $102 |
| 95810 | Sleep study in sleep lab (6 years or older) | 98 | $131 | $104 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 63 | $165 | $122 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 49 | $44 | $35 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 28 | $136 | $101 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 13 | $203 | $162 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatric Sleep Medicine Physician | 2080S0012X | ✓ | G76339 | CA |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | G76339 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pediatric Sleep Medicine Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.