BENJAMIN COONS, MD
Urology Physician · COLORADO SPRINGS, CO
Individual Active NPI 1720135692
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 498 | 3,146 | $661,950 | $217,882 | $162,279 |
| 2023 | 475 | 3,774 | $836,590 | $283,817 | $224,192 |
| 2022 | 329 | 5,014 | $773,044 | $283,551 | $234,736 |
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 | 388 | $130 | $94 |
| 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 | 308 | $16 | $13 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 238 | $92 | $62 |
| 81003 | Automated urinalysis test | 230 | $2 | $2 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 110 | $168 | $117 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 108 | $63 | $46 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 97 | $12 | $9 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 95 | $242 | $177 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 79 | $0 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 53 | $48 | $38 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 33 | $62 | $47 |
| 55700 | Biopsy of prostate gland | 31 | $240 | $180 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 47568 | CO |
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.