JAMES SANFILIPPO, MD
Orthopaedic Surgery of the Spine Physician · MOORESTOWN, NJ
Individual Active NPI 1568596328
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 319 | 932 | $650,814 | $201,679 | $159,619 |
| 2023 | 459 | 1,385 | $1,048,357 | $234,707 | $184,365 |
| 2022 | 575 | 1,613 | $1,536,870 | $247,037 | $192,600 |
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 | 155 | $96 | $75 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 111 | $135 | $108 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 87 | $176 | $137 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 77 | $43 | $33 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 45 | $56 | $44 |
| 72114 | X-ray lower and sacral spine, minimum of 6 views | 42 | $66 | $50 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 37 | $269 | $214 |
| 72040 | X-ray of upper spine, 2-3 views | 27 | $43 | $33 |
| 22630 | Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc | 21 | $1,665 | $1,328 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $60 | $48 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $179 | $143 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $51 | $41 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | 25MA08568500 | NJ |
| Orthopaedic Surgery Physician | 207X00000X | MD427064 | PA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 060607 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery of the Spine Physician providers in New Jersey
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- NPI 1033596101
- NPI 1629225859
- NPI 1124664792
- NPI 1265569255
- NPI 1275092124
- NPI 1568966935
See all Orthopaedic Surgery of the Spine Physician providers in New Jersey →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.