BENJAMIN SANCHEZ, MD
Cardiovascular Disease Physician · ALLENTOWN, PA
Individual Active NPI 1659369536
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,050 | 1,690 | $351,820 | $128,278 | $95,181 |
| 2023 | 1,002 | 1,671 | $344,160 | $142,147 | $106,874 |
| 2022 | 1,609 | 2,541 | $464,295 | $193,018 | $146,244 |
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 | 239 | $92 | $61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 219 | $74 | $57 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 218 | $63 | $47 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 129 | $119 | $93 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 126 | $8 | $5 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 97 | $137 | $94 |
| 99291 | Critical care, first 30-74 minutes | 92 | $202 | $159 |
| 93790 | Ambulatory blood pressure monitoring, 1 day or longer, with review, interpretation and report | 61 | $17 | $13 |
| 93227 | Electrocardiogram (ecg) 2-day continuous with review by health care professional | 61 | $17 | $12 |
| 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 | 45 | $16 | $12 |
| 93248 | Heart rhythm review and interpretation of continous external ekg over 8-15 days | 27 | $24 | $16 |
| 93308 | Ultrasound of heart, follow-up | 27 | $23 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | MD064967L | 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.