NEVVI Medicare utilization intelligence

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PUCHALSKI, ROBERTM.D. NPI 1740215904 Clinician

Otolaryngology · LUGOFF, SC

Specialty Otolaryngology — from billed Medicare claims
Trained UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 29 years since medical school (class of 1997, self-reported to CMS)
Location LUGOFF, SC · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 35 codes billed · 21,304 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2020-05

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
95027 Test for allergy using airborne allergenic extract injected into skin premiumpremium premiumpremium
95004 Test for allergy using allergenic extract premiumpremium premiumpremium
J2357 Injection, omalizumab, 5 mg premiumpremium premiumpremium
95117 Professional service for multiple injections of allergen premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
95165 Professional service for preparation and provision of 1 or more antigens premiumpremium premiumpremium
95115 Professional service for single injection of allergen premiumpremium premiumpremium
31231 Diagnostic exam of nasal passages using an endoscope premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
69210 Removal of impacted ear wax premiumpremium premiumpremium
92567 Test to assess middle ear function premiumpremium premiumpremium
31575 Diagnostic exam of voice box using a flexible endoscope premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
95810 Sleep study in sleep lab (6 years or older) premiumpremium premiumpremium
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle premiumpremium premiumpremium
94060 Test to measure expiratory airflow and volume changes before and after medication administration premiumpremium premiumpremium
70486 Ct scan of face without contrast premiumpremium premiumpremium
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
92504 Exam of ear using a microscope premiumpremium premiumpremium
94010 Test to measure expiratory airflow and volume premiumpremium premiumpremium
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) premiumpremium premiumpremium
31237 Biopsy or removal of nasal polyp or tissue using an endoscope premiumpremium premiumpremium
95977 Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming premiumpremium premiumpremium
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope premiumpremium premiumpremium
30140 Removal of nasal air passage under lining tissue premiumpremium premiumpremium
30520 Reshaping of nasal cartilage premiumpremium premiumpremium
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes premiumpremium premiumpremium
38700 Removal of lymph nodes from chin to thyroid cartilage premiumpremium premiumpremium
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode premiumpremium premiumpremium
92549 Test for balance and posture with motor control and adaption test premiumpremium premiumpremium
96372 Injection of drug or substance under skin or into muscle premiumpremium premiumpremium
97161 Evaluation for physical therapy, typically 20 minutes premiumpremium premiumpremium
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia premiumpremium premiumpremium
95992 Repositioning exercises of head for treatment of dizziness, each day premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.