ANDREW PFAFFENBACH, M.D.
Internal Medicine Physician · APPLETON, WI
Individual Active NPI 1740654862
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 118 | 683 | $121,733 | $32,801 | $26,351 |
| 2023 | 116 | 455 | $86,818 | $26,211 | $21,255 |
| 2022 | 30 | 76 | $16,856 | $5,778 | $4,861 |
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 | 144 | $119 | $89 |
| 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 | 82 | $15 | $12 |
| 36415 | Insertion of needle into vein for collection of blood sample | 72 | $9 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 | $83 | $60 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 21 | $8 | $8 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | $122 | $122 |
| 77067 | Screening mammography | 11 | $86 | $86 |
| 77063 | Screening 3d breast mammography | 11 | $22 | $22 |
| 71046 | X-ray of chest, 2 views | 11 | $22 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 40300-020 | WI |
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.