npidexNPI registry + Medicare data

BENJAMIN WILCOX, MD

Nephrology Physician · ALLENTOWN, PA

Individual Active NPI 1407897820

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246192,430$335,210$175,196$132,815
20236292,201$316,067$166,454$127,482
20225681,956$330,660$169,174$128,469

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes532$74$59
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units508$7$6
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more306$96$63
G2211Visit 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's258$16$12
90935Hemodialysis procedure with physician evaluation152$67$53
90960Dialysis services, 4 or more physician visits per month (20 years or older)126$343$264
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes118$123$98
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month97$45$36
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month61$55$43
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more38$76$51
90945Dialysis procedure including 1 evaluation35$81$64
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more32$155$96

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nephrology Physician207RN0300X✓MD424438PA
Nephrology Physician207RN0300X25MA08079200NJ
Nephrology Physician207RN0300X25MA080779200NJ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Nephrology Physician providers in Pennsylvania

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.