CRAIG RAPHAEL, M.D.
Clinical Cardiac Electrophysiology Physician · EAST NORRITON, PA
Individual Active NPI 1578981940
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 682 | 2,750 | $1,338,665 | $580,160 | $456,969 |
| 2023 | 1,329 | 3,828 | $1,903,352 | $741,431 | $583,717 |
| 2022 | 285 | 573 | $375,939 | $158,299 | $125,848 |
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 | 481 | $139 | $100 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 340 | $16 | $11 |
| 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 | 246 | $18 | $13 |
| 93280 | Programming of dual lead pacemaker system | 177 | $85 | $61 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 165 | $23 | $18 |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 137 | $896 | $723 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 137 | $27 | $21 |
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 131 | $111 | $89 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 113 | $31 | $23 |
| 93297 | Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 75 | $66 | $50 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 72 | $99 | $71 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 58 | $196 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ✓ | MD478651 | PA |
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.