BENJAMIN SCHARFSTEIN, M.D.
Surgery Physician · BRISTOL, TN
Individual Active NPI 1497850515
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 290 | 626 | $354,319 | $122,037 | $97,175 |
| 2023 | 339 | 675 | $498,814 | $169,248 | $134,195 |
| 2022 | 349 | 704 | $507,784 | $223,949 | $177,607 |
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 | 109 | $85 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 93 | $105 | $81 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 56 | $47 | $38 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $159 | $124 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 25 | $17 | $14 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 24 | $299 | $241 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | $165 | $133 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $120 | $97 |
| 47562 | Removal of gallbladder using an endoscope | 14 | $588 | $472 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 11 | $177 | $138 |
| 49650 | Repair of groin hernia using an endoscope | 11 | $416 | $334 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 34037 | TN |
| Surgery Physician | 208600000X | 0101275702 | VA |
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.