ALEXANDER DUARTE, MD
Pulmonary Disease Physician · GALVESTON, TX
Individual Active NPI 1780744730
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 287 | 635 | $143,672 | $46,956 | $35,375 |
| 2023 | 291 | 704 | $141,043 | $49,595 | $37,500 |
| 2022 | 364 | 850 | $149,277 | $54,805 | $42,595 |
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 | 152 | $94 | $67 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 96 | $114 | $90 |
| 94726 | Test to determine lung volumes using sensors | 40 | $12 | $9 |
| 94729 | Test to examine how well the lungs exchange gases | 37 | $9 | $6 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | $77 | $61 |
| 94010 | Test to measure expiratory airflow and volume | 32 | $8 | $6 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | $168 | $130 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $127 | $85 |
| 94729 | Test to examine how well the lungs exchange gases | 22 | $9 | $6 |
| 94726 | Test to determine lung volumes using sensors | 22 | $12 | $8 |
| 99291 | Critical care, first 30-74 minutes | 19 | $206 | $164 |
| 94010 | Test to measure expiratory airflow and volume | 18 | $8 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | J9001 | TX |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | J9001 | 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.