npidexNPI registry + Medicare data

BENJAMIN VIDALIS, M.D.

Neurological Surgery Physician · SANTA FE, NM

Individual Active NPI 1104245562

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024177404$529,310$148,004$115,162
2023166373$447,320$111,794$85,365
2022129270$306,729$79,733$62,381

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more87$162$116
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more67$124$88
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more43$176$128
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion33$261$209
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more21$215$135
22630Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc15$1,591$1,266
22842Placement of stabilizing device to back, 3-6 spine bone segments12$774$621

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Neurological Surgery Physician207T00000X✓MD2021-0303NM
Student in an Organized Health Care Education/Training Program390200000X—NM

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.