MICHAEL BENCA, MD
Cardiovascular Disease Physician · SAN MARCOS, TX
Individual Active NPI 1588774061
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,131 | 3,130 | $948,236 | $299,380 | $215,426 |
| 2023 | 906 | 2,965 | $811,334 | $259,279 | $190,099 |
| 2022 | 709 | 2,593 | $662,953 | $243,409 | $179,474 |
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 | 1,009 | $125 | $85 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 396 | $14 | $11 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 345 | $173 | $130 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 229 | $164 | $113 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 163 | $77 | $62 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 160 | $67 | $54 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 150 | $8 | $5 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 114 | $138 | $102 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 61 | $80 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 56 | $128 | $103 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 52 | $21 | $17 |
| 93244 | Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 33 | $21 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | P7245 | TX |
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.