BENJAMIN DALTON, MD
Gastroenterology Physician · KNOXVILLE, TN
Individual Active NPI 1396979936
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 319 | 592 | $220,830 | $57,943 | $43,647 |
| 2023 | 270 | 559 | $213,505 | $53,770 | $39,205 |
| 2022 | 282 | 584 | $220,235 | $58,320 | $43,395 |
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 | 142 | $63 | $49 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 79 | $102 | $74 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 75 | $65 | $50 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $127 | $98 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 48 | $229 | $163 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 31 | $33 | $18 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 26 | $102 | $80 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 19 | $156 | $107 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | $75 | $61 |
| 91010 | Study of esophagus to assess movement | 13 | $62 | $50 |
| 91037 | Monitoring and recording of esophageal function through nasal tube with electrode | 12 | $46 | $37 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | $125 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 53046 | TN |
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.