AL-MARIE GRACE LOGRONO, MD
Internal Medicine Physician · DEVILS LAKE, ND
Individual Active NPI 1750679080
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 324 | 956 | $281,494 | $94,425 | $67,896 |
| 2023 | 374 | 1,305 | $263,267 | $93,325 | $66,455 |
| 2022 | 291 | 4,513 | $292,683 | $77,562 | $56,762 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 488 | $121 | $75 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | $123 | $123 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $85 | $54 |
| G0008 | Administration of influenza virus vaccine | 63 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 51 | $80 | $80 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $41 | $41 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 30 | $153 | $153 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 24 | $6 | $3 |
| 90715 | Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | 12 | $38 | $20 |
| 90471 | Administration of vaccine | 11 | $20 | $10 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 13139 | ND |
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.