MARK STANIFORTH, MD
Nephrology Physician · MUSKEGON, MI
Individual Active NPI 1619978707
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 404 | 864 | $200,629 | $123,492 | $91,009 |
| 2023 | 447 | 1,081 | $210,915 | $139,024 | $106,291 |
| 2022 | 499 | 1,266 | $247,893 | $178,532 | $138,550 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 235 | $70 | $54 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 204 | $306 | $231 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 155 | $88 | $54 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 | $76 | $48 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 54 | $116 | $89 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 30 | $255 | $197 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 27 | $4 | $4 |
| 90935 | Hemodialysis procedure with physician evaluation | 24 | $63 | $49 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $100 | $64 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 15 | $170 | $134 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 5315016730 | MI |
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.