ROBERT FAFALAK, MD
Rheumatology Physician · NEW YORK, NY
Individual Active NPI 1982683041
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 418 | 15,954 | $827,683 | $492,299 | $371,191 |
| 2023 | 441 | 7,720 | $925,385 | $539,662 | $411,501 |
| 2022 | 440 | 7,201 | $852,698 | $515,401 | $386,456 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 8,920 | $0 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,597 | $69 | $49 |
| J0897 | Injection, denosumab, 1 mg | 1,380 | $26 | $21 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,026 | $142 | $102 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 996 | $101 | $74 |
| 36415 | Insertion of needle into vein for collection of blood sample | 492 | $9 | $9 |
| 81002 | Urinalysis, manual test | 475 | $3 | $3 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 172 | $143 | $143 |
| 64421 | Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block | 128 | $37 | $29 |
| 20610 | Aspiration and/or injection of fluid from large joint | 124 | $83 | $64 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 115 | $6 | $5 |
| 96372 | Injection of drug or substance under skin or into muscle | 77 | $16 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 175702 | NY |
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.