ETHAN DALLEY, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician · LUBBOCK, TX

Individual Active NPI 1780818112

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246455,335$1,714,573$373,596$291,897
20235955,399$1,626,951$393,643$305,891
202259913,854$1,715,071$520,132$415,325

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
95886Needle measurement of electrical activity in arm or leg muscles, complete study402$88$66
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml350$0$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level269$132$103
95911Nerve conduction, 9-10 studies192$195$154
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more112$85$63
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level112$48$38
95923Testing of autonomic (sympathetic) nervous system function99$112$89
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more97$155$114
J1010Injection, methylprednisolone acetate, 1 mg91$0$0
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more69$106$72
64494Injection of lower or sacral spine facet joint using imaging guidance, second level62$72$57
64493Injection of lower or sacral spine facet joint using imaging guidance, single level62$128$102

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pain Medicine (Physical Medicine & Rehabilitation) Physician2081P2900XP9063TX

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.