ENRIQUE CALVO AYALA, M.D.
Pulmonary Disease Physician · ROYAL OAK, MI
Individual Active NPI 1699971713
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 257 | 561 | $176,856 | $60,349 | $46,415 |
| 2023 | 249 | 540 | $167,749 | $65,714 | $51,268 |
| 2022 | 221 | 533 | $193,463 | $73,709 | $56,434 |
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 | 82 | $119 | $95 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 | $97 | $68 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | $79 | $63 |
| 99291 | Critical care, first 30-74 minutes | 56 | $216 | $171 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 49 | $145 | $107 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | $174 | $137 |
| 94729 | Test to examine how well the lungs exchange gases | 22 | $9 | $7 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 21 | $10 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $66 | $50 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $132 | $100 |
| 94726 | Test to determine lung volumes using sensors | 18 | $12 | $9 |
| 94010 | Test to measure expiratory airflow and volume | 17 | $8 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 4301089825 | MI |
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.