ADAM BENDER-HEINE, M.D.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · HARLINGEN, TX
Individual Active NPI 1457771438
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 78 | 197 | $83,441 | $32,740 | $24,398 |
| 2023 | 94 | 270 | $104,843 | $43,791 | $33,687 |
| 2022 | 79 | 237 | $101,625 | $39,000 | $29,612 |
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 | 27 | $86 | $56 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 26 | $52 | $38 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 19 | $122 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $160 | $101 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 | $107 | $85 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $116 | $93 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 13 | $76 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ✓ | S7391 | TX |
| Otolaryngology Physician | 207Y00000X | S7391 | TX |
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.