SAMIR DERISAVIFARD, MD

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · REGO PARK, NY

Individual Active NPI 1477997690

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	261	3,636	$727,768	$143,089	$110,229
2023	173	992	$363,087	$70,715	$55,311
2022	209	2,127	$306,362	$123,488	$93,680

HCPCS	Description	Services	Avg allowed	Avg paid
J0585	Injection, onabotulinumtoxina, 1 unit	2,400	$6	$5
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	284	$18	$14
51798	Ultrasound measurement of bladder capacity after voiding	155	$13	$10
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	$144	$109
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	81	$103	$79
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	$190	$136
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	$203	$152
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	$129	$103
99459	Pelvic exam	44	$27	$21
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	$128	$96
52287	Exam with injections of chemical for destruction of bladder using an endoscope	21	$449	$352
51741	Electronic assessment of bladder emptying	19	$8	$6

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	2088F0040X	✓	282292-01	NY
Urology Physician	208800000X		S5157	TX
Urology Physician	208800000X		282292-01	NY

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