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    OpenPayerNPI Medicare & MedicaidCarolina Benjamin
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    Carolina Benjamin — Billing Profile & Reimbursement Data

    NPI 1447541800 · Miami, FL · Neurological Surgery Physician

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    Carolina Benjamin is a neurological surgery physician provider located in Miami, Florida. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarolina Benjamin
    Address1095 Nw 14th Ter
    CityMiami
    StateFL
    ZIP33136
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 20, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$53.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61796In this procedure, the provider uses externally generated ionized radiation to destroy a single, simple cranial lesion in the target area in the brain. The targeted lesion is simple, which typically…20$1,080$21.6K
    61797In this add–on procedure, the provider uses externally generated ionized radiation to destroy each additional target area in the brain after destruction of a first cranial lesion at the same session.…40$240$10K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…80$80$6.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$150$5.5K
    61800In this add on procedure, the provider applies a stereotactic head frame to a patient’s head prior to stereotactic radiosurgery. He attaches the frame to use with image scanning to identify and…20$160$3.7K
    61781In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…10$260$3.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$120$2.3K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…20$10$280

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420,31232,760140$90$25K
    6179651020$960$20.2K
    992156,4788,55040$130$10.7K
    6179741040$210$8.4K
    992051,8084,82030$160$6.6K
    61781193020$220$5.2K
    6180041020$140$3K
    991521,1011,37050$20$1.2K

    Nearby Providers

    Other providers in the same ZIP code as Carolina Benjamin, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Public Health Trust Of Miami Dade County FloridaFLGeneral Acute Care Hospital$0$79M
    University Of Miami Hospital And ClinicsFLSpecial Hospital$0$62.1M
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$37.1M
    Brave Health Inc.FLCommunity/Behavioral Health Agency$0$23M
    City Of MiamiFLLand Ambulance$1.4M$8.7M
    University Of MiamiFLAnatomic Pathology & Clinical Pathology Physician$0$7.4M
    Action Service Solutions, LLCFLDevelopmental Disabilities Clinic/Center$0$7.3M
    Amir BaluchFLAnesthesiology Physician$6.4M$0
    Bahram KhazaiFLInternal Medicine Physician$4.4M$0
    Marco GonzalezFLOphthalmology Physician$3.7M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Carolina Benjamin — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida