SIMON FENSTERSZAUB, D.O.

Family Medicine Physician · BRISTOL, RI

Individual Active NPI 1003077322

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243,53624,465$3,916,710$1,540,573$1,219,721
202354,531916,558$43,827,620$16,089,920$14,773,409
20228,09732,213$8,326,279$2,523,208$2,133,774

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month8,171$62$50
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional6,538$55$43
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month5,352$47$38
99494Psychiatric collaborative care management per calendar month, each additional 30 minutes946$60$48
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes925$139$111
G2214Initial 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 care470$58$46
99492Initial psychiatric collaborative care management, first calendar month, first 70 minutes462$155$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more230$146$106
99426Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month218$61$49
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more113$104$74
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more88$65$47
99427Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month85$47$37

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X249846NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Family Medicine Physician providers in Rhode Island

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.