HEATHER RAFAL, D.P.M.
Foot & Ankle Surgery Podiatrist · WILMINGTON, DE
Individual Active NPI 1023346335
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 604 | 3,565 | $244,688 | $201,539 | $152,378 |
| 2023 | 576 | 3,602 | $254,378 | $213,513 | $154,968 |
| 2022 | 532 | 3,034 | $237,142 | $195,543 | $147,020 |
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 | 692 | $89 | $67 |
| 11719 | Trimming of fingernails or toenails | 652 | $11 | $8 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 502 | $44 | $34 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 463 | $32 | $24 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 366 | $81 | $61 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 135 | $109 | $77 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 122 | $70 | $54 |
| 73630 | X-ray of foot, minimum of 3 views | 113 | $33 | $26 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 87 | $55 | $39 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 81 | $88 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 65 | $64 | $48 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 58 | $59 | $47 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | ✓ | E10000197 | DE |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC005846 | PA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E10000197 | DE | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC005846 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- 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.