PRATIK PRADHAN, M.D.
Otolaryngology Physician · BROCKTON, MA
Individual Active NPI 1881652832
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 750 | 2,523 | $1,246,275 | $337,785 | $253,477 |
| 2023 | 829 | 2,804 | $979,189 | $291,783 | $217,942 |
| 2022 | 757 | 2,209 | $1,055,668 | $294,972 | $219,833 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 945 | $96 | $69 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 186 | $118 | $81 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 181 | $200 | $149 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 103 | $138 | $101 |
| 92567 | Test to assess middle ear function | 97 | $18 | $13 |
| 92557 | Comprehensive hearing and speech recognition test | 81 | $39 | $29 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 74 | $135 | $97 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 72 | $174 | $131 |
| 92504 | Exam of ear using a microscope | 29 | $32 | $24 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 28 | $202 | $160 |
| 92524 | Analysis of voice and resonance production | 26 | $111 | $88 |
| 30117 | Removal or destruction of growth of nose through nose | 26 | $511 | $407 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 210126 | MA |
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.