A provider with the NPI, 1689693681, could not be located.
8747 MYRTLE AVE
GLENDALE, NY
NPI: 1689693681
Provider Type: Internal Medicine
Entity Type: I
Insertion of needle into vein for collection of blood sample
HCPCS Code: 36415
HCPCS product/service is a drug?: No
Place of Service: O
53
Number of Services
29
Number of Beneficiaries
$20.00
Average Submitted Charge
$3.00
Average Medicare Allowed Amount
$2.95
Average Medicare Payment
Psychotherapy, 30 minutes with patient and/or family member
HCPCS Code: 90832
HCPCS product/service is a drug?: No
Place of Service: O
1125
Number of Services
202
Number of Beneficiaries
$80.00
Average Submitted Charge
$69.66
Average Medicare Allowed Amount
$43.73
Average Medicare Payment
Psychotherapy, 45 minutes with patient and/or family member
HCPCS Code: 90834
HCPCS product/service is a drug?: No
Place of Service: O
14
Number of Services
12
Number of Beneficiaries
$100.00
Average Submitted Charge
$88.51
Average Medicare Allowed Amount
$57.53
Average Medicare Payment
Group psychotherapy
HCPCS Code: 90853
HCPCS product/service is a drug?: No
Place of Service: O
1742
Number of Services
201
Number of Beneficiaries
$50.00
Average Submitted Charge
$26.91
Average Medicare Allowed Amount
$16.63
Average Medicare Payment
Routine EKG using at least 12 leads including interpretation and report
HCPCS Code: 93000
HCPCS product/service is a drug?: No
Place of Service: O
17
Number of Services
17
Number of Beneficiaries
$40.12
Average Submitted Charge
$21.39
Average Medicare Allowed Amount
$16.85
Average Medicare Payment
Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration
HCPCS Code: 94060
HCPCS product/service is a drug?: No
Place of Service: O
52
Number of Services
51
Number of Beneficiaries
$95.38
Average Submitted Charge
$76.43
Average Medicare Allowed Amount
$61.09
Average Medicare Payment
Pulmonary exercise testing
HCPCS Code: 94621
HCPCS product/service is a drug?: No
Place of Service: O
16
Number of Services
16
Number of Beneficiaries
$245.00
Average Submitted Charge
$195.00
Average Medicare Allowed Amount
$156.00
Average Medicare Payment
New patient office or other outpatient visit, typically 45 minutes
HCPCS Code: 99204
HCPCS product/service is a drug?: No
Place of Service: O
88
Number of Services
88
Number of Beneficiaries
$217.66
Average Submitted Charge
$186.77
Average Medicare Allowed Amount
$146.83
Average Medicare Payment
Established patient office or other outpatient visit, typically 5 minutes
HCPCS Code: 99211
HCPCS product/service is a drug?: No
Place of Service: O
37
Number of Services
25
Number of Beneficiaries
$40.78
Average Submitted Charge
$23.68
Average Medicare Allowed Amount
$15.65
Average Medicare Payment
Established patient office or other outpatient visit, typically 15 minutes
HCPCS Code: 99213
HCPCS product/service is a drug?: No
Place of Service: O
141
Number of Services
115
Number of Beneficiaries
$110.67
Average Submitted Charge
$83.38
Average Medicare Allowed Amount
$64.79
Average Medicare Payment
Established patient office or other outpatient, visit typically 25 minutes
HCPCS Code: 99214
HCPCS product/service is a drug?: No
Place of Service: O
319
Number of Services
205
Number of Beneficiaries
$171.93
Average Submitted Charge
$121.88
Average Medicare Allowed Amount
$89.50
Average Medicare Payment
Established patient office or other outpatient, visit typically 40 minutes
HCPCS Code: 99215
HCPCS product/service is a drug?: No
Place of Service: O
48
Number of Services
32
Number of Beneficiaries
$219.92
Average Submitted Charge
$162.35
Average Medicare Allowed Amount
$122.41
Average Medicare Payment
Established patient home visit, typically 25 minutes
HCPCS Code: 99348
HCPCS product/service is a drug?: No
Place of Service: O
88
Number of Services
31
Number of Beneficiaries
$137.73
Average Submitted Charge
$92.08
Average Medicare Allowed Amount
$70.95
Average Medicare Payment
Established patient home visit, typically 40 minutes
HCPCS Code: 99349
HCPCS product/service is a drug?: No
Place of Service: O
240
Number of Services
59
Number of Beneficiaries
$158.48
Average Submitted Charge
$139.70
Average Medicare Allowed Amount
$101.86
Average Medicare Payment
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
HCPCS Code: 99406
HCPCS product/service is a drug?: No
Place of Service: O
30
Number of Services
30
Number of Beneficiaries
$18.00
Average Submitted Charge
$15.65
Average Medicare Allowed Amount
$12.52
Average Medicare Payment
Smoking and tobacco use intensive counseling, greater than 10 minutes
HCPCS Code: 99407
HCPCS product/service is a drug?: No
Place of Service: O
37
Number of Services
37
Number of Beneficiaries
$35.00
Average Submitted Charge
$30.07
Average Medicare Allowed Amount
$24.05
Average Medicare Payment
Administration of influenza virus vaccine
HCPCS Code: G0008
HCPCS product/service is a drug?: No
Place of Service: O
14
Number of Services
14
Number of Beneficiaries
$65.00
Average Submitted Charge
$30.23
Average Medicare Allowed Amount
$29.63
Average Medicare Payment
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
HCPCS Code: G0438
HCPCS product/service is a drug?: No
Place of Service: O
22
Number of Services
22
Number of Beneficiaries
$256.55
Average Submitted Charge
$190.75
Average Medicare Allowed Amount
$188.51
Average Medicare Payment
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
HCPCS Code: Q2036
HCPCS product/service is a drug?: Yes
Place of Service: O
24
Number of Services
24
Number of Beneficiaries
$41.67
Average Submitted Charge
$8.58
Average Medicare Allowed Amount
$8.41
Average Medicare Payment