BENJAMIN ZMISTOWSKI, MD
Orthopaedic Surgery Physician · SAINT LOUIS, MO
Individual Active NPI 1265850309
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 468 | 1,306 | $1,045,420 | $222,976 | $173,551 |
| 2023 | 494 | 1,565 | $1,036,079 | $231,942 | $181,842 |
| 2022 | 309 | 1,072 | $661,420 | $147,435 | $115,022 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 420 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 378 | $86 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 98 | $106 | $78 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 | $122 | $92 |
| 20610 | Aspiration and/or injection of fluid from large joint | 66 | $65 | $50 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 64 | $1,394 | $1,107 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 50 | $54 | $40 |
| 0055T | Musculoskeletal surgical navigational orthopedic operation using imaging guidance | 21 | $246 | $196 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 17 | $45 | $33 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $154 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 2019008253 | MO |
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.