JAKE FORMAN

Vascular Surgery Physician · YORK, PA

Individual Active NPI 1558721167

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024216631$410,381$124,318$97,639
202371195$112,950$38,574$30,748

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more68$116$83
76937Ultrasonic guidance for blood vessel access53$13$10
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes46$75$59
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes43$11$9
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more35$146$111
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more31$165$127
75625Review by radiologist of abdominal aorta image26$64$51
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes22$123$98
75716Review by radiologist of both arms or legs arteries image21$87$69
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes20$164$131
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance18$161$129
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more14$206$164

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Vascular Surgery Physician2086S0129XOS019891PA
Vascular Surgery Physician2086S0129XFF2923515PA

Medicare eligibility

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

Other Vascular Surgery 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.