SIMON FENSTERSZAUB, D.O.
Family Medicine Physician · BRISTOL, RI
Individual Active NPI 1003077322
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 3,536 | 24,465 | $3,916,710 | $1,540,573 | $1,219,721 |
| 2023 | 54,531 | 916,558 | $43,827,620 | $16,089,920 | $14,773,409 |
| 2022 | 8,097 | 32,213 | $8,326,279 | $2,523,208 | $2,133,774 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 8,171 | $62 | $50 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 6,538 | $55 | $43 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 5,352 | $47 | $38 |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | 946 | $60 | $48 |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 925 | $139 | $111 |
| G2214 | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care | 470 | $58 | $46 |
| 99492 | Initial psychiatric collaborative care management, first calendar month, first 70 minutes | 462 | $155 | $124 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 230 | $146 | $106 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 218 | $61 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 113 | $104 | $74 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 88 | $65 | $47 |
| 99427 | Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month | 85 | $47 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 249846 | NY |
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.