GERARD HAYES, MD
Pulmonary Disease Physician · BRIGHTON, MA
Individual Active NPI 1942275169
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 829 | 2,587 | $1,075,072 | $262,264 | $200,951 |
| 2023 | 791 | 2,584 | $1,037,820 | $259,184 | $198,907 |
| 2022 | 771 | 2,626 | $1,005,822 | $260,922 | $196,266 |
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 | 685 | $137 | $102 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 304 | $193 | $146 |
| 94729 | Test to examine how well the lungs exchange gases | 243 | $65 | $50 |
| 94726 | Test to determine lung volumes using sensors | 186 | $64 | $50 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 175 | $44 | $35 |
| 36415 | Insertion of needle into vein for collection of blood sample | 170 | $9 | $9 |
| 85018 | Blood count, hemoglobin | 161 | $2 | $2 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 127 | $177 | $124 |
| 94010 | Test to measure expiratory airflow and volume | 70 | $31 | $25 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 65 | $82 | $66 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 62 | $235 | $183 |
| G0008 | Administration of influenza virus vaccine | 61 | $35 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 79628 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.