BENJAMIN DEBELAK, D.O.
Orthopaedic Surgery Physician · GALLATIN, TN
Individual Active NPI 1790808848
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 216 | 3,425 | $668,862 | $121,199 | $93,216 |
| 2023 | 181 | 8,337 | $581,905 | $131,642 | $100,223 |
| 2022 | 169 | 8,321 | $329,204 | $110,826 | $85,980 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 222 | $81 | $60 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 156 | $7 | $5 |
| 20610 | Aspiration and/or injection of fluid from large joint | 140 | $63 | $47 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 98 | $112 | $82 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 55 | $147 | $107 |
| 73562 | X-ray of knee, 3 views | 54 | $36 | $27 |
| 73030 | X-ray of shoulder, minimum of 2 views | 50 | $29 | $22 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | $120 | $94 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | $70 | $56 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $102 | $75 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 3817 | TN |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2014-00194 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 2014-00194 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Surgery Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.