BRAD RAPHAEL, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · SYRACUSE, NY
Individual Active NPI 1295992303
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 348 | 6,297 | $330,112 | $112,969 | $87,113 |
| 2023 | 294 | 789 | $275,423 | $93,434 | $72,226 |
| 2022 | 348 | 903 | $214,453 | $81,915 | $60,789 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 5,422 | $0 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 200 | $33 | $25 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $86 | $65 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 117 | $121 | $94 |
| 20610 | Aspiration and/or injection of fluid from large joint | 87 | $65 | $46 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 75 | $160 | $116 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 33 | $160 | $128 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 32 | $1,000 | $796 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $107 | $73 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 25 | $10 | $5 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 22 | $199 | $159 |
| 73562 | X-ray of knee, 3 views | 20 | $39 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 240654 | NY |
| Orthopaedic Surgery Physician | 207X00000X | 240654 | NY |
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.