GERALD FALASCA, MD
Rheumatology Physician · JOHNSON CITY, TN
Individual Active NPI 1891888434
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 367 | 37,416 | $1,321,848 | $681,975 | $538,579 |
| 2023 | 425 | 36,297 | $1,370,745 | $707,524 | $553,861 |
| 2022 | 414 | 40,083 | $1,419,890 | $789,309 | $618,593 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 7,853 | $11 | $9 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,328 | $1 | $1 |
| J0897 | Injection, denosumab, 1 mg | 900 | $25 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 516 | $110 | $78 |
| 80053 | Blood test, comprehensive group of blood chemicals | 465 | $10 | $10 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 305 | $5 | $5 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 237 | $6 | $6 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 236 | $7 | $7 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 155 | $108 | $80 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 148 | $2 | $2 |
| 20610 | Aspiration and/or injection of fluid from large joint | 107 | $56 | $44 |
| 36415 | Insertion of needle into vein for collection of blood sample | 97 | $9 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 46761 | TN |
| Rheumatology Physician | 207RR0500X | MD046569L | PA | |
| Rheumatology Physician | 207RR0500X | MA47176 | NJ |
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.