BENJAMIN RAYMOND, D.O.
Surgery Physician · BRIDGEPORT, WV
Individual Active NPI 1194089946
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 375 | 741 | $409,525 | $128,195 | $100,792 |
| 2023 | 380 | 773 | $432,753 | $133,354 | $104,993 |
| 2022 | 303 | 708 | $382,893 | $126,429 | $98,475 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 133 | $132 | $101 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 87 | $80 | $38 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 71 | $95 | $74 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 59 | $65 | $43 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | $152 | $128 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | $92 | $72 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 39 | $252 | $210 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 37 | $177 | $142 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 22 | $184 | $184 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $185 | $185 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 19 | $18 | $14 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 19 | $318 | $253 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 3149 | WV |
| Surgery Physician | 208600000X | OT014867 | PA |
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.