HEMANTKUMAR PATEL, MD
Pulmonary Disease Physician · NEWARK, NJ
Individual Active NPI 1932178357
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 597 | 6,617 | $921,767 | $519,839 | $409,520 |
| 2023 | 675 | 6,754 | $898,772 | $530,646 | $420,231 |
| 2022 | 733 | 6,595 | $856,931 | $439,061 | $345,643 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 3,006 | $83 | $66 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 1,984 | $52 | $42 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 450 | $138 | $110 |
| 99238 | Hospital discharge day management, 30 minutes or less | 342 | $86 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $100 | $64 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 136 | $43 | $33 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 109 | $140 | $98 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 106 | $68 | $53 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 98 | $52 | $41 |
| 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 | 46 | $18 | $13 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 46 | $143 | $114 |
| 99239 | Hospital discharge day management, more than 30 minutes | 33 | $122 | $94 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | MA043021 | 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.