JOEL PROVENZANO, M.D.
Pulmonary Disease Physician · MARION, OH
Individual Active NPI 1942431515
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 439 | 1,146 | $180,864 | $96,324 | $74,365 |
| 2023 | 440 | 1,119 | $206,507 | $103,148 | $78,056 |
| 2022 | 480 | 3,243 | $695,716 | $269,976 | $211,881 |
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 | 214 | $88 | $64 |
| 99291 | Critical care, first 30-74 minutes | 143 | $210 | $169 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 129 | $123 | $90 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 61 | $115 | $93 |
| 94729 | Test to examine how well the lungs exchange gases | 57 | $9 | $6 |
| 94726 | Test to determine lung volumes using sensors | 48 | $11 | $8 |
| 94010 | Test to measure expiratory airflow and volume | 37 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 34 | $10 | $7 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 33 | $109 | $77 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | $171 | $135 |
| 94618 | Test for exercise-induced lung stress | 24 | $21 | $17 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $158 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 35.099189 | OH |
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.