JAMES BANICH, MD
Plastic Surgery Physician · COLORADO SPRINGS, CO
Individual Active NPI 1801087044
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 478 | 930 | $903,450 | $422,949 | $330,104 |
| 2023 | 410 | 794 | $692,107 | $339,738 | $265,150 |
| 2022 | 386 | 757 | $582,158 | $333,557 | $260,016 |
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 | 157 | $91 | $71 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 76 | $478 | $369 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 74 | $435 | $335 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 51 | $398 | $309 |
| 14061 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 50 | $1,019 | $801 |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 45 | $945 | $743 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 44 | $775 | $608 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 41 | $1,101 | $872 |
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 32 | $1,005 | $795 |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 21 | $408 | $326 |
| 11102 | Biopsy of related skin growth, first growth | 19 | $97 | $73 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 16 | $126 | $98 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ✓ | DR0059047 | 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.