KAREN DEFFENBACHER, M.D., PH.D.
Interventional Cardiology Physician · HARVEY, IL
Individual Active NPI 1154702421
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 307 | 932 | $459,009 | $137,766 | $108,259 |
| 2023 | 323 | 955 | $469,606 | $129,114 | $100,370 |
| 2022 | 117 | 306 | $132,675 | $37,859 | $30,175 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 233 | $120 | $95 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 89 | $11 | $9 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 85 | $169 | $133 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 61 | $131 | $101 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 46 | $217 | $167 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 37 | $164 | $129 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 34 | $15 | $12 |
| 99291 | Critical care, first 30-74 minutes | 33 | $221 | $176 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 23 | $175 | $139 |
| 92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 20 | $78 | $63 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 18 | $622 | $496 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 16 | $133 | $106 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | 036145936 | IL |
| Internal Medicine Physician | 207R00000X | 264258 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 036.145936 | IL | |
| Hospitalist Physician | 208M00000X | 036145936 | IL |
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.