MARC EFFRON, M.D.
Physical Medicine & Rehabilitation Physician · KING OF PRUSSIA, PA
Individual Active NPI 1023218815
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 371 | 9,754 | $861,723 | $342,870 | $268,257 |
| 2023 | 385 | 16,179 | $822,679 | $329,733 | $255,951 |
| 2022 | 363 | 9,854 | $689,408 | $293,715 | $226,433 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0587 | Injection, rimabotulinumtoxinb, 100 units | 3,251 | $13 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 931 | $93 | $72 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 571 | $23 | $18 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 558 | $28 | $22 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 427 | $11 | $9 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 341 | $21 | $17 |
| 97530 | Therapy procedure using functional activities | 282 | $38 | $29 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 237 | $135 | $107 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 187 | $127 | $98 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 132 | $114 | $88 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 102 | $120 | $96 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 94 | $66 | $53 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ✓ | MD433772 | PA |
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.