SAMUEL JACOB, D.O.

Sports Medicine (Physical Medicine & Rehabilitation) Physician · RIDGEWOOD, NJ

Individual Active NPI 1134651391

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	228	3,570	$371,591	$142,048	$108,825
2023	174	1,213	$230,467	$80,636	$60,739
2022	26	61	$19,612	$6,120	$4,793

HCPCS	Description	Services	Avg allowed	Avg paid
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	503	$1	$1
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	$147	$111
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	195	$105	$81
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	138	$127	$99
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	$189	$139
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	50	$118	$94
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	44	$19	$15
76942	Ultrasonic guidance for needle placement	35	$68	$54
20552	Injection of trigger points, 1-2 muscles	28	$58	$47
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	$121	$93
64450	Injection of anesthetic agent and/or steroid into other nerve or branch	14	$91	$69

Specialty	Code	Primary	License	State
Sports Medicine (Physical Medicine & Rehabilitation) Physician	2081S0010X	✓	25MB11490200	NJ

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