MARC BENTON, M.D.
Pulmonary Disease Physician · MADISON, NJ
Individual Active Opted out of Medicare NPI 1003817156
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 130 | 167 | $32,574 | $18,470 | $14,613 |
| 2023 | 512 | 688 | $223,110 | $93,391 | $67,036 |
| 2022 | 794 | 1,644 | $587,031 | $246,502 | $188,179 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 112 | $103 | $82 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 36 | $123 | $95 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 25MA05147800 | NJ |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 25MA05147800 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Sleep Medicine), effective 2026-01-01 through 2028-01-01.
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.