SEBASTIAN CRUZ-SCHIAVONE, MD
Surgery Physician · WALLINGFORD, PA
Individual Active NPI 1992281471
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 1,952 | $920,387 | $616,540 | $488,295 |
| 2023 | 158 | 909 | $176,975 | $95,106 | $73,144 |
| 2022 | 124 | 751 | $141,363 | $68,198 | $53,804 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 490 | $98 | $76 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 403 | $69 | $53 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 75 | $119 | $94 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 71 | $169 | $127 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 56 | $70 | $55 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 53 | $141 | $112 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 50 | $97 | $75 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 37 | $166 | $125 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 13 | $76 | $61 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 464585 | PA |
| Surgery Physician | 208600000X | 35.135306 | OH | |
| Surgery Physician | 208600000X | 28649 | WV |
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.