VISHAL BHALANI, M.D.
Urology Physician · CUMMING, GA
Individual Active NPI 1902025596
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 369 | 2,178 | $748,753 | $261,585 | $203,378 |
| 2023 | 253 | 1,028 | $221,936 | $97,308 | $76,157 |
| 2022 | 430 | 2,143 | $784,135 | $164,066 | $115,903 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 303 | $125 | $97 |
| 81003 | Automated urinalysis test | 294 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 228 | $11 | $8 |
| 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 | 215 | $16 | $12 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 207 | $164 | $121 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 119 | $89 | $62 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 85 | $227 | $178 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 80 | $822 | $658 |
| 51741 | Electronic assessment of bladder emptying | 69 | $13 | $10 |
| 76872 | Ultrasound scan of pelvic region through rectum | 53 | $135 | $108 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 33 | $106 | $84 |
| 36415 | Insertion of needle into vein for collection of blood sample | 23 | $9 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 074749 | GA |
| Urology Physician | 208800000X | 125053804 | IL |
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.