ANTHONY FLAIM, DO
Pulmonary Disease Physician · STRATFORD, NJ
Individual Active NPI 1851687966
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 684 | 2,654 | $499,787 | $285,024 | $223,636 |
| 2023 | 473 | 1,621 | $312,767 | $188,428 | $150,548 |
| 2022 | 21 | 61 | $21,840 | $9,504 | $7,619 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 572 | $119 | $95 |
| 94010 | Test to measure expiratory airflow and volume | 313 | $28 | $21 |
| 99291 | Critical care, first 30-74 minutes | 215 | $213 | $169 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 173 | $175 | $139 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 170 | $79 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 151 | $131 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 150 | $93 | $71 |
| 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 | 138 | $17 | $12 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 135 | $183 | $143 |
| 94729 | Test to examine how well the lungs exchange gases | 74 | $58 | $46 |
| 94726 | Test to determine lung volumes using sensors | 71 | $58 | $43 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 68 | $40 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | OS016631 | PA |
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.