Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $3,068 | 2 | 90.7% |
| Food and Beverage | $168.03 | 5 | 5.0% |
| Travel and Lodging | $147.84 | 1 | 4.4% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medwest Associates | $1,868 | 1 | $0 (2018) |
| Arthrex, Inc. | $1,364 | 3 | $0 (2021) |
| AXOGEN | $129.76 | 3 | $0 (2017) |
| Smith+Nephew, Inc. | $22.27 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $22.27 | 1 | Smith+Nephew, Inc. ($22.27) |
| 2021 | $1,364 | 3 | Arthrex, Inc. ($1,364) |
| 2018 | $1,868 | 1 | Medwest Associates ($1,868) |
| 2017 | $129.76 | 3 | AXOGEN ($129.76) |
All Payment Transactions
8 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/21/2022 | Smith+Nephew, Inc. | Bioinductive Implant with Arthroscopic Delivery System - Medium (Device) | Food and Beverage | In-kind items and services | $22.27 | General |
| Category: Sports Med Shoulder | ||||||
| 06/14/2021 | Arthrex, Inc. | — | Education | In-kind items and services | $1,200.00 | General |
| 06/14/2021 | Arthrex, Inc. | — | Food and Beverage | In-kind items and services | $16.00 | General |
| 06/13/2021 | Arthrex, Inc. | — | Travel and Lodging | In-kind items and services | $147.84 | General |
| 04/10/2018 | Medwest Associates | — | Education | In-kind items and services | $1,868.00 | General |
| 11/13/2017 | AXOGEN | AxoGuard Nerve Connector (Device), AxoGuard Nerve Protector | Food and Beverage | In-kind items and services | $12.75 | General |
| Category: Neurology | ||||||
| 10/23/2017 | AXOGEN | AxoGuard Nerve Protector (Device), AxoGuard Nerve Connector | Food and Beverage | In-kind items and services | $103.96 | General |
| Category: Neurology | ||||||
| 10/09/2017 | AXOGEN | AxoGuard Nerve Protector (Device), AxoGuard Nerve Connector | Food and Beverage | In-kind items and services | $13.05 | General |
| Category: Neurology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 496 | 947 | $107,240 | $40,149 |
| 2022 | 12 | 428 | 786 | $77,688 | $32,089 |
| 2021 | 12 | 351 | 709 | $67,314 | $28,555 |
| 2020 | 11 | 272 | 522 | $50,574 | $19,863 |
All Medicare Procedures & Services
47 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 81 | 158 | $19,243 | $11,562 | 60.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 54 | 74 | $13,288 | $7,515 | 56.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 56 | 56 | $15,766 | $7,076 | 44.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 47 | 47 | $8,913 | $4,189 | 47.0% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2023 | 59 | 101 | $15,422 | $3,008 | 19.5% |
| 73140 | X-ray of finger, minimum of 2 views | Office | 2023 | 33 | 54 | $5,783 | $1,418 | 24.5% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 17 | 24 | $4,896 | $1,310 | 26.7% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 18 | 29 | $5,100 | $1,308 | 25.6% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 41 | 57 | $9,349 | $1,276 | 13.6% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2023 | 33 | 38 | $5,252 | $948.88 | 18.1% |
| 73080 | X-ray of elbow, minimum of 3 views | Office | 2023 | 15 | 22 | $3,654 | $511.83 | 14.0% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2023 | 42 | 287 | $574.00 | $27.89 | 4.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 70 | 118 | $12,057 | $8,525 | 70.7% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 45 | 45 | $10,343 | $5,640 | 54.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 44 | 55 | $8,209 | $5,295 | 64.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 48 | 48 | $7,613 | $3,844 | 50.5% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2022 | 57 | 105 | $14,357 | $3,137 | 21.8% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2022 | 38 | 63 | $7,617 | $1,457 | 19.1% |
| 20550 | Injection into tendon or ligament | Office | 2022 | 17 | 26 | $4,084 | $1,149 | 28.1% |
| 95861 | Needle measurement of electrical activity in arm or leg muscles, 2 extremities | Office | 2022 | 13 | 14 | $1,473 | $956.51 | 64.9% |
| 73140 | X-ray of finger, minimum of 2 views | Office | 2022 | 22 | 30 | $2,940 | $782.11 | 26.6% |
| 73080 | X-ray of elbow, minimum of 3 views | Office | 2022 | 15 | 28 | $4,672 | $722.27 | 15.5% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2022 | 21 | 22 | $3,859 | $559.48 | 14.5% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2022 | 38 | 232 | $464.00 | $22.54 | 4.9% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 55 | 95 | $8,722 | $6,748 | 77.4% |
About Dr. Sam Biafora, M.D
Dr. Sam Biafora, M.D is a Hand Surgery healthcare provider based in Crystal Lake, Illinois. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/30/2007. The National Provider Identifier (NPI) number assigned to this provider is 1205037991.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Sam Biafora, M.D has received a total of $3,384 in payments from pharmaceutical and medical device companies, with $22.27 received in 2022. These payments were reported across 8 transactions from 4 companies. The most common payment nature is "Education" ($3,068).
As a Medicare-enrolled provider, Biafora has provided services to 1,547 Medicare beneficiaries, totaling 2,964 services with total Medicare billing of $120,657. Data is available for 4 years (2020–2023), covering 47 distinct procedure/service records.
Practice Information
- Specialty Hand Surgery
- Location Crystal Lake, IL
- Active Since 05/30/2007
- Last Updated 08/18/2008
- Taxonomy Code 207XS0106X
- Entity Type Individual
- NPI Number 1205037991
Products in Payments
- AxoGuard Nerve Protector (Device) $117.01
- Bioinductive Implant with Arthroscopic Delivery System - Medium (Device) $22.27
- AxoGuard Nerve Connector (Device) $12.75
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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.