SETH CLEMENS, M.D.
Pulmonary Disease Physician · KALISPELL, MT
Individual Active NPI 1740494913
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 349 | 754 | $126,758 | $69,439 | $53,738 |
| 2023 | 369 | 1,029 | $142,180 | $83,872 | $63,715 |
| 2022 | 349 | 829 | $142,902 | $75,933 | $58,831 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 137 | $137 | $106 |
| 94729 | Test to examine how well the lungs exchange gases | 99 | $9 | $6 |
| 94010 | Test to measure expiratory airflow and volume | 98 | $8 | $6 |
| 99291 | Critical care, first 30-74 minutes | 85 | $206 | $164 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 85 | $174 | $136 |
| 94726 | Test to determine lung volumes using sensors | 82 | $11 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 | $93 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 18 | $62 | $38 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | $167 | $133 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 19450 | MT |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 19450 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Montana
- NPI 1811966393
- NPI 1275822405
- NPI 1669405866
- NPI 1407315401
- NPI 1659578052
- NPI 1205918992
- NPI 1649630526
- NPI 1174512636
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.