ALEXANDER PRONKO
Pulmonary Disease Physician · CEDAR KNOLLS, NJ
Individual Active NPI 1760923072
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 622 | 1,534 | $583,555 | $193,127 | $152,023 |
| 2023 | 169 | 307 | $128,223 | $41,526 | $33,107 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 281 | $223 | $175 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 250 | $125 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 173 | $139 | $108 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 163 | $83 | $66 |
| 94726 | Test to determine lung volumes using sensors | 97 | $31 | $24 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 75 | $184 | $146 |
| 94729 | Test to examine how well the lungs exchange gases | 74 | $28 | $22 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 73 | $180 | $136 |
| 94010 | Test to measure expiratory airflow and volume | 61 | $16 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 51 | $100 | $76 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 39 | $24 | $19 |
| 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 | 24 | $18 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 25MA11741400 | NJ |
| Internal Medicine Physician | 207R00000X | 308646 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in New Jersey →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.