AL-MARIE GRACE LOGRONO, MD

Internal Medicine Physician · DEVILS LAKE, ND

Individual Active NPI 1750679080

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024324956$281,494$94,425$67,896
20233741,305$263,267$93,325$66,455
20222914,513$292,683$77,562$56,762

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more488$121$75
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$123$123
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more70$85$54
G0008Administration of influenza virus vaccine63$30$30
90662Influenza vaccine split virus, preservative free51$80$80
90480Admn sarscov2 vacc 1 dose30$41$41
91322Sarscov2 vac 50 mcg/0.5ml im30$153$153
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing24$6$3
90715Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)12$38$20
90471Administration of vaccine11$20$10

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X13139ND

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.