Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 879 | 2,091 | $440,906 | $110,815 |
| 2022 | 7 | 826 | 1,810 | $430,223 | $107,468 |
| 2021 | 9 | 828 | 1,332 | $417,540 | $103,101 |
| 2020 | 7 | 685 | 1,009 | $245,143 | $57,871 |
All Medicare Procedures & Services
31 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 207 | 442 | $126,098 | $29,426 | 23.3% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 196 | 196 | $108,584 | $28,155 | 25.9% |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | Office | 2023 | 53 | 237 | $100,251 | $22,940 | 22.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 117 | 135 | $49,140 | $15,189 | 30.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 99 | 119 | $29,393 | $9,361 | 31.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 46 | 46 | $16,790 | $4,259 | 25.4% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 14 | 17 | $4,358 | $785.27 | 18.0% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 147 | 899 | $6,293 | $698.68 | 11.1% |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | Office | 2022 | 60 | 259 | $127,549 | $28,651 | 22.5% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 197 | 419 | $115,411 | $27,271 | 23.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 184 | 184 | $98,992 | $25,895 | 26.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 98 | 115 | $40,595 | $12,330 | 30.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 103 | 123 | $29,520 | $9,380 | 31.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 38 | 38 | $13,452 | $3,366 | 25.0% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 146 | 672 | $4,704 | $574.00 | 12.2% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2021 | 190 | 395 | $109,792 | $26,413 | 24.1% |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | Office | 2021 | 51 | 238 | $134,946 | $24,584 | 18.2% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 132 | 132 | $68,904 | $20,073 | 29.1% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 109 | 109 | $37,496 | $10,352 | 27.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 73 | 84 | $28,812 | $9,939 | 34.5% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 102 | 122 | $28,426 | $9,763 | 34.3% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 25 | 29 | $4,176 | $1,017 | 24.4% |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | Office | 2021 | 11 | 14 | $3,525 | $753.17 | 21.4% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2021 | 135 | 209 | $1,463 | $206.80 | 14.1% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2020 | 154 | 280 | $72,960 | $17,577 | 24.1% |
About Dr. Benjamin Halligan, MD
Dr. Benjamin Halligan, MD is a Sports Medicine healthcare provider based in Fremont, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/03/2007. The National Provider Identifier (NPI) number assigned to this provider is 1972715985.
As a Medicare-enrolled provider, Halligan has provided services to 3,218 Medicare beneficiaries, totaling 6,242 services with total Medicare billing of $379,254. Data is available for 4 years (2020–2023), covering 31 distinct procedure/service records.
Practice Information
- Specialty Sports Medicine
- Other Specialties Orthopaedic Surgery
- Location Fremont, CA
- Active Since 05/03/2007
- Last Updated 02/01/2021
- Taxonomy Code 207XX0005X
- Entity Type Individual
- NPI Number 1972715985
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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