MATTHEW GRAFENBERG, M.D.
Otolaryngology Physician · PINEHURST, NC
Individual Active NPI 1225001357
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 614 | 2,593 | $871,235 | $193,245 | $141,324 |
| 2023 | 593 | 2,636 | $639,458 | $171,471 | $125,808 |
| 2022 | 681 | 2,720 | $582,072 | $199,688 | $149,131 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 428 | $85 | $60 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 400 | $13 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 219 | $156 | $107 |
| 95117 | Professional service for multiple injections of allergen | 127 | $10 | $7 |
| 69210 | Removal of impacted ear wax | 100 | $44 | $33 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 88 | $119 | $93 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 83 | $168 | $111 |
| 92511 | Exam of the nose and throat using an endoscope | 72 | $109 | $81 |
| 95810 | Sleep study in sleep lab (6 years or older) | 46 | $111 | $78 |
| 92504 | Exam of ear using a microscope | 39 | $27 | $17 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 38 | $105 | $69 |
| 36415 | Insertion of needle into vein for collection of blood sample | 32 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | 2008-00324 | NC |
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.