BENJAMIN CHALSTROM, PA-C
Urgent Care Clinic/Center · HARRIMAN, TN
Individual Active NPI 1134833445
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 185 | 618 | $69,458 | $26,461 | $18,243 |
| 2023 | 149 | 499 | $54,210 | $21,292 | $17,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 99 | $100 | $64 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 84 | $16 | $16 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 68 | $0 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 42 | $41 | $41 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 41 | $71 | $50 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $130 | $79 |
| 81003 | Automated urinalysis test | 26 | $2 | $2 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 | $87 | $56 |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | $11 | $6 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 11 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | ✓ | — | — |
| Physician Assistant | 363A00000X | 5396 | TN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.