PAYMON BANAFSHE, D.O.
Adult Medicine Physician · LOS ANGELES, CA
Individual Active NPI 1346341575
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 434 | 19,652 | $1,818,551 | $1,159,895 | $921,425 |
| 2023 | 435 | 16,771 | $1,468,957 | $916,719 | $736,440 |
| 2022 | 413 | 12,842 | $1,170,195 | $665,593 | $543,207 |
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 | 3,370 | $120 | $95 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,468 | $52 | $39 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1,445 | $54 | $42 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,428 | $66 | $49 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 1,103 | $57 | $45 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 739 | $17 | $13 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 534 | $80 | $63 |
| 36415 | Insertion of needle into vein for collection of blood sample | 523 | $9 | $9 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 508 | $111 | $86 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 432 | $135 | $100 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 416 | $96 | $72 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 415 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ✓ | 20A8510 | CA |
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.