BONIFASIYO SSENNYAMANTONO, MD
Cardiovascular Disease Physician · AVONDALE, AZ
Individual Active NPI 1902813678
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,486 | 3,874 | $1,193,576 | $436,428 | $326,675 |
| 2023 | 1,415 | 3,322 | $956,186 | $335,207 | $250,476 |
| 2022 | 1,399 | 3,524 | $962,040 | $345,759 | $259,602 |
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 | 636 | $123 | $86 |
| J2785 | Injection, regadenoson, 0.1 mg | 457 | $7 | $6 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 318 | $185 | $132 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 281 | $8 | $6 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 259 | $14 | $10 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 256 | $145 | $116 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 182 | $65 | $45 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 165 | $59 | $47 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 164 | $408 | $320 |
| 93793 | Anticoagulant management of patient taking warfarin | 104 | $11 | $8 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 94 | $173 | $128 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 81 | $24 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 35788 | AZ |
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.