PRATAP TUMMALA, MD
Rheumatology Physician · SHERMAN, TX
Individual Active NPI 1730187816
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 833 | 32,167 | $992,788 | $454,447 | $336,027 |
| 2023 | 936 | 42,042 | $1,165,990 | $524,603 | $396,422 |
| 2022 | 989 | 35,939 | $1,119,194 | $548,406 | $416,326 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 22,600 | $5 | $4 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,357 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,545 | $86 | $59 |
| 36415 | Insertion of needle into vein for collection of blood sample | 947 | $9 | $9 |
| 73130 | X-ray of hand, minimum of 3 views | 407 | $34 | $25 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 343 | $54 | $35 |
| 20610 | Aspiration and/or injection of fluid from large joint | 305 | $70 | $50 |
| 73630 | X-ray of foot, minimum of 3 views | 248 | $31 | $23 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 207 | $121 | $88 |
| 96372 | Injection of drug or substance under skin or into muscle | 204 | $14 | $10 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 176 | $98 | $69 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 112 | $159 | $116 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | L2713 | TX |
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.