BENJAMIN ZERTUCHE, M.D.
Family Medicine Physician · PLEASANTON, TX
Individual Active NPI 1992788087
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 467 | 13,312 | $1,415,031 | $1,015,708 | $789,000 |
| 2023 | 456 | 12,776 | $1,459,481 | $984,552 | $758,058 |
| 2022 | 486 | 15,466 | $2,472,588 | $1,097,709 | $861,490 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 5,839 | $75 | $59 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,124 | $108 | $84 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,036 | $75 | $60 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 914 | $50 | $36 |
| 99497 | Advance care planning, first 30 minutes | 502 | $76 | $57 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 377 | $0 | $0 |
| 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 | 327 | $17 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 309 | $127 | $89 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 212 | $183 | $144 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 199 | $109 | $87 |
| 96372 | Injection of drug or substance under skin or into muscle | 155 | $14 | $11 |
| G0136 | Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes | 150 | $19 | $15 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | L2066 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Texas
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- NPI 1366634420
- NPI 1851892699
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.