FRANK RUBALCAVA, MD
Cardiovascular Disease Physician · NEW BRAUNFELS, TX
Individual Active NPI 1851387070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,211 | 6,127 | $1,631,198 | $452,027 | $337,965 |
| 2023 | 1,376 | 8,823 | $2,302,679 | $619,260 | $460,498 |
| 2022 | 1,812 | 15,223 | $3,576,695 | $996,093 | $760,523 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 814 | $14 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 697 | $86 | $60 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 541 | $13 | $13 |
| J2785 | Injection, regadenoson, 0.1 mg | 516 | $7 | $6 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 412 | $74 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 390 | $122 | $82 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 325 | $178 | $128 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 278 | $174 | $127 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 234 | $64 | $49 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 227 | $61 | $47 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 203 | $162 | $123 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 173 | $59 | $47 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | H8956 | 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.