JAKE FORMAN
Vascular Surgery Physician · YORK, PA
Individual Active NPI 1558721167
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 216 | 631 | $410,381 | $124,318 | $97,639 |
| 2023 | 71 | 195 | $112,950 | $38,574 | $30,748 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 68 | $116 | $83 |
| 76937 | Ultrasonic guidance for blood vessel access | 53 | $13 | $10 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 46 | $75 | $59 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 43 | $11 | $9 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 35 | $146 | $111 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 31 | $165 | $127 |
| 75625 | Review by radiologist of abdominal aorta image | 26 | $64 | $51 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | $123 | $98 |
| 75716 | Review by radiologist of both arms or legs arteries image | 21 | $87 | $69 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | $164 | $131 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 18 | $161 | $129 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 14 | $206 | $164 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ✓ | OS019891 | PA |
| Vascular Surgery Physician | 2086S0129X | FF2923515 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Vascular Surgery Physician providers in Pennsylvania
- NPI 1932426616
- NPI 1710016787
- NPI 1477547479
- NPI 1780118679
- NPI 1790913945
- NPI 1013086628
- NPI 1205797644
- NPI 1790003093
See all Vascular Surgery Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.