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 2 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 44 | 59 | $7,957 | $5,917 | 74.4% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 36 | 36 | $7,604 | $4,861 | 63.9% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 34 | 34 | $4,846 | $2,987 | 61.6% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2021 | 40 | 94 | $13,016 | $2,949 | 22.7% |
| 73221 | Mri scan of arm joint | Office | 2021 | 18 | 20 | $7,020 | $1,106 | 15.7% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2021 | 14 | 17 | $3,140 | $916.38 | 29.2% |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | Office | 2021 | 12 | 18 | $2,762 | $855.74 | 31.0% |
| 73140 | X-ray of fingers, minimum of 2 views | Office | 2021 | 24 | 35 | $3,195 | $842.54 | 26.4% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2021 | 23 | 34 | $5,143 | $702.28 | 13.7% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2021 | 21 | 27 | $3,429 | $642.82 | 18.7% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2021 | 30 | 240 | $480.00 | $28.38 | 5.9% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 49 | 91 | $8,369 | $5,656 | 67.6% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 34 | 39 | $5,269 | $3,305 | 62.7% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 22 | 22 | $4,510 | $2,885 | 64.0% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 32 | 32 | $4,697 | $2,663 | 56.7% |
| 73110 | X-ray of wrist, minimum of 3 views | Office | 2020 | 26 | 52 | $6,758 | $1,424 | 21.1% |
| 73221 | Mri scan of arm joint | Office | 2020 | 17 | 19 | $6,669 | $1,101 | 16.5% |
| 73130 | X-ray of hand, minimum of 3 views | Office | 2020 | 17 | 33 | $4,422 | $864.52 | 19.6% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2020 | 11 | 13 | $2,340 | $704.70 | 30.1% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2020 | 22 | 30 | $4,629 | $631.19 | 13.6% |
| 73140 | X-ray of fingers, minimum of 2 views | Office | 2020 | 19 | 31 | $2,591 | $613.19 | 23.7% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2020 | 23 | 160 | $320.00 | $15.78 | 4.9% |
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.