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NPI 1922096064 · Philadelphia, PA · Pulmonary Disease Physician
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Gilbert Dalonzo is a pulmonary disease physician provider located in Philadelphia, Pennsylvania. This profile covers 13 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gilbert Dalonzo |
| Address | 3401 N Broad St |
| City | Philadelphia |
| State | PA |
| ZIP | 19140 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | October 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $102.3K |
| Medicaid | $13.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 550 | $40 | $22.3K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 450 | $40 | $18.7K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 530 | $30 | $14.2K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 370 | $30 | $10.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 140 | $70 | $8.9K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 90 | $100 | $8.6K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 340 | $20 | $6.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 40 | $80 | $3K |
| 94621 | The provider performs complex cardiopulmonary exercise testing (CPET) to evaluate the heart and lung function. The procedure includes measuring minute ventilation (the volume of gas exhaled). Minute… | 50 | $60 | $3K |
| 94640 | The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that… | 290 | $10 | $2.3K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 17,518 | 23,230 | 100 | $80 | $14.5K |
| 99233 | 2,847 | 6,630 | 70 | $90 | $12K |
| 99232 | 3,592 | 10,870 | 80 | $60 | $9.6K |
| 99204 | 9,769 | 10,290 | 30 | $110 | $5K |
| 99222 | 6,863 | 7,850 | 30 | $100 | $4.3K |
| 99238 | 748 | 1,980 | 20 | $60 | $2.4K |
| 94729 | 3 | 450 | 60 | $20 | $1.7K |
| 94621 | 1 | 10 | 20 | $60 | $1.4K |
| 94010 | 23 | 370 | 40 | $20 | $1.4K |
| 94726 | 3 | 350 | 50 | $20 | $1.2K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 190 | $50 | $9.3K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 110 | $20 | $1.6K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 120 | $10 | $1.1K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 70 | $10 | $670 |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 60 | $10 | $570 |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 20 | $10 | $100 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 4,261 | 8,160 | 210 | $60 | $68.4K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 88 | 110 | 90 | $40 | $27.8K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 72 | 160 | 100 | $20 | $6.2K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 65 | 130 | 80 | $20 | $5.8K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 88 | 160 | 90 | $20 | $5.3K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 15 | 40 | 70 | $20 | $4.8K |
Other providers in the same ZIP code as Gilbert Dalonzo, ranked by combined Medicare and Medicaid revenue.
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