MARK PLUYM, M.D.
Pulmonary Disease Physician · ST JOHNSBURY, VT
Individual Active NPI 1942597489
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 416 | 1,351 | $275,545 | $80,464 | $61,029 |
| 2023 | 426 | 1,616 | $361,778 | $111,384 | $83,854 |
| 2022 | 480 | 1,942 | $379,990 | $138,683 | $106,992 |
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 | 331 | $91 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 206 | $61 | $46 |
| 94375 | Test to measure rate of airflow | 200 | $13 | $10 |
| 94729 | Test to examine how well the lungs exchange gases | 120 | $8 | $6 |
| 94726 | Test to determine lung volumes using sensors | 118 | $11 | $8 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 77 | $73 | $58 |
| 99291 | Critical care, first 30-74 minutes | 48 | $199 | $153 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $125 | $92 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 33 | $11 | $11 |
| 94618 | Test for exercise-induced lung stress | 30 | $21 | $16 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 30 | $9 | $7 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $122 | $97 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 042.0018193 | VT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Vermont
- NPI 1326420241
- NPI 1164431847
- NPI 1447320627
- NPI 1922114164
- NPI 1053725200
- NPI 1871540336
- NPI 1427110782
- NPI 1053815639
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.