ROOPASHREE PRABHUSHANKAR, MD
Endocrinology, Diabetes & Metabolism Physician · MESA, AZ
Individual Active NPI 1831402429
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 253 | 808 | $166,625 | $66,568 | $47,933 |
| 2023 | 281 | 862 | $179,556 | $75,498 | $55,201 |
| 2022 | 261 | 976 | $181,028 | $83,375 | $62,656 |
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 | 235 | $121 | $82 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 183 | $60 | $45 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 88 | $93 | $70 |
| 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 | 51 | $16 | $13 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 45 | $120 | $92 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 38 | $46 | $35 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $63 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $82 | $66 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 13 | $63 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 49977 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2013020803 | MO |
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.