ABESH NIROULA, M.D.
Pulmonary Disease Physician · ATLANTA, GA
Individual Active NPI 1871856468
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 505 | $577,603 | $58,152 | $45,191 |
| 2023 | 136 | 465 | $474,963 | $51,876 | $41,030 |
| 2022 | 197 | 590 | $482,880 | $67,326 | $52,660 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 52 | $207 | $165 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 45 | $167 | $118 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | $164 | $131 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 29 | $116 | $92 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 26 | $28 | $22 |
| 76604 | Ultrasound scan of chest | 25 | $26 | $21 |
| 31645 | Aspiration of initial secretion of lung airway using an endoscope | 22 | $35 | $28 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 21 | $141 | $113 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 17 | $217 | $163 |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 14 | $15 | $12 |
| 31627 | Computer-assisted image-guided navigation of lung airways using an endoscope | 13 | $93 | $74 |
| 31641 | Destruction of growth or narrowing of lung airway using an endoscope | 13 | $245 | $195 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 83351 | GA |
| Internal Medicine Physician | 207R00000X | MT200765 | PA | |
| Internal Medicine Physician | 207R00000X | MD455209 | 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.