EDISON GAVILANES, MD
Pulmonary Disease Physician · AMITYVILLE, NY
Individual Active NPI 1992967731
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,383 | 5,598 | $2,591,252 | $659,808 | $524,039 |
| 2023 | 1,347 | 5,659 | $2,593,038 | $667,451 | $524,333 |
| 2022 | 1,168 | 5,540 | $2,494,042 | $619,899 | $492,626 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,463 | $90 | $72 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,412 | $86 | $68 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,033 | $136 | $109 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 457 | $150 | $113 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 438 | $198 | $159 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 410 | $153 | $121 |
| 99291 | Critical care, first 30-74 minutes | 87 | $244 | $196 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 64 | $196 | $145 |
| 94729 | Test to examine how well the lungs exchange gases | 57 | $68 | $55 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 57 | $53 | $43 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 55 | $47 | $38 |
| 99239 | Hospital discharge day management, more than 30 minutes | 26 | $132 | $106 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 257788 | NY |
| Internal Medicine Physician | 207R00000X | 257788 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1154423622
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- NPI 1023048865
- NPI 1801819354
- NPI 1003089673
- NPI 1225748494
- NPI 1205173531
- NPI 1720329949
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.