MICHAEL SCLAFANI, MD
Sports Medicine (Orthopaedic Surgery) Physician · MANASQUAN, NJ
Individual Active NPI 1366421703
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 261 | 5,075 | $988,572 | $143,067 | $106,480 |
| 2023 | 340 | 3,837 | $765,272 | $141,280 | $104,016 |
| 2022 | 300 | 2,723 | $435,100 | $85,455 | $64,931 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,656 | $1 | $1 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,140 | $7 | $5 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 427 | $131 | $97 |
| 20610 | Aspiration and/or injection of fluid from large joint | 323 | $73 | $53 |
| 73030 | X-ray of shoulder, minimum of 2 views | 86 | $36 | $27 |
| 73560 | X-ray of knee, 1-2 views | 76 | $36 | $27 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $170 | $119 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 33 | $95 | $56 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 13 | $174 | $138 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 11 | $1,109 | $879 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 25MA06068100 | NJ |
| Orthopaedic Surgery Physician | 207X00000X | 25MA06068100 | NJ |
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.