ANDREA AVALOS, MD
Family Medicine Physician · HAMPTON, VA
Individual Active NPI 1710483680
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 204 | 2,119 | $179,967 | $94,827 | $76,406 |
| 2023 | 200 | 1,765 | $151,044 | $85,006 | $69,206 |
| 2022 | 180 | 1,490 | $123,017 | $70,753 | $54,433 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 252 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 233 | $126 | $80 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 203 | $16 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 153 | $89 | $61 |
| 80053 | Blood test, comprehensive group of blood chemicals | 120 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 118 | $13 | $13 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 115 | $7 | $7 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 106 | $129 | $129 |
| 83036 | Hemoglobin a1c level | 92 | $9 | $9 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 71 | $8 | $8 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 56 | $16 | $16 |
| 82306 | Vitamin d-3 level | 41 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 0101272470 | VA |
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.