PAUL PROSPERI, D.O.
Family Medicine Physician · SHIP BOTTOM, NJ
Individual Active NPI 1952416588
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 775 | 4,985 | $420,062 | $326,287 | $261,905 |
| 2023 | 720 | 4,039 | $382,720 | $311,813 | $246,887 |
| 2022 | 737 | 3,425 | $362,943 | $307,313 | $242,828 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 840 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 801 | $130 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 621 | $93 | $61 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 490 | $25 | $25 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 481 | $19 | $19 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 365 | $129 | $129 |
| G0444 | Annual depression screening, 5 to 15 minutes | 362 | $19 | $19 |
| 92548 | Test for balance and posture | 235 | $48 | $33 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 101 | $164 | $164 |
| G0008 | Administration of influenza virus vaccine | 80 | $26 | $26 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $66 | $66 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 58 | $209 | $165 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 25MB06900900 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in New Jersey
- NPI 1821094640
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- NPI 1346284635
- NPI 1245267525
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.