MONICA PAULO, MD
Pulmonary Disease Physician · BISMARCK, ND
Individual Active NPI 1982703849
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 401 | 1,099 | $175,954 | $47,157 | $35,154 |
| 2023 | 448 | 1,378 | $265,587 | $72,180 | $51,569 |
| 2022 | 499 | 1,755 | $323,296 | $96,059 | $70,705 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94010 | Test to measure expiratory airflow and volume | 415 | $8 | $6 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 193 | $135 | $101 |
| 94729 | Test to examine how well the lungs exchange gases | 161 | $8 | $6 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 95 | $29 | $22 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 54 | $10 | $7 |
| 94726 | Test to determine lung volumes using sensors | 45 | $11 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $92 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $125 | $97 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | $163 | $129 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 7026 | ND |
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.