SANJAY ATHAVALE, M.D.
Otolaryngology Physician · CARTERSVILLE, GA
Individual Active NPI 1942404421
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 787 | $1,339,350 | $329,812 | $258,903 |
| 2023 | 220 | 825 | $730,291 | $201,965 | $157,080 |
| 2022 | 367 | 1,185 | $787,434 | $222,346 | $174,036 |
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 | 111 | $84 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 105 | $103 | $73 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $156 | $122 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 51 | $163 | $115 |
| 30117 | Removal or destruction of growth of nose through nose | 28 | $440 | $350 |
| 30469 | Repair of collapsed nasal valve | 27 | $1,105 | $881 |
| 31242 | Destruction of nasal nerve by heat using an endoscope | 27 | $2,141 | $1,706 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 26 | $123 | $91 |
| 30801 | Destruction of soft tissue of nasal passages | 21 | $98 | $78 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 | $120 | $86 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 20 | $43 | $27 |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 17 | $338 | $270 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 69172 | GA |
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.