Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 680 | 2,711 | $622,643 | $124,908 |
| 2022 | 9 | 661 | 1,052 | $502,451 | $110,319 |
| 2021 | 12 | 855 | 2,592 | $685,330 | $155,497 |
| 2020 | 12 | 897 | 2,842 | $547,622 | $123,811 |
All Medicare Procedures & Services
44 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 310 | 457 | $117,615 | $39,527 | 33.6% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2023 | 29 | 30 | $196,200 | $28,895 | 14.7% |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | Facility | 2023 | 18 | 19 | $128,858 | $18,311 | 14.2% |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2023 | 13 | 13 | $52,286 | $11,556 | 22.1% |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | Office | 2023 | 19 | 1,560 | $59,280 | $8,028 | 13.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 60 | 60 | $23,400 | $6,498 | 27.8% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 87 | 103 | $22,204 | $5,029 | 22.7% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 41 | 42 | $13,776 | $3,815 | 27.7% |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | Office | 2023 | 18 | 21 | $2,793 | $1,920 | 68.7% |
| 99284 | Emergency department visit with moderate level of medical decision making | Facility | 2023 | 11 | 11 | $3,861 | $1,014 | 26.3% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 74 | 395 | $2,370 | $316.22 | 13.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 290 | 421 | $107,490 | $38,081 | 35.4% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2022 | 33 | 34 | $222,360 | $33,633 | 15.1% |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | Facility | 2022 | 13 | 13 | $88,166 | $12,868 | 14.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 90 | 90 | $35,100 | $10,578 | 30.1% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 56 | 56 | $18,368 | $5,640 | 30.7% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 82 | 99 | $20,566 | $4,804 | 23.4% |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | Office | 2022 | 31 | 36 | $4,788 | $3,415 | 71.3% |
| 99284 | Emergency department visit for problem of high severity | Facility | 2022 | 11 | 11 | $3,861 | $1,047 | 27.1% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 55 | 292 | $1,752 | $253.02 | 14.4% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 333 | 499 | $127,245 | $46,219 | 36.3% |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | Facility | 2021 | 27 | 29 | $189,660 | $29,057 | 15.3% |
| 27130 | Replacement of thigh bone and hip joint prosthesis | Facility | 2021 | 19 | 19 | $128,858 | $19,177 | 14.9% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 99 | 99 | $38,610 | $11,718 | 30.4% |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | Office | 2021 | 14 | 18 | $35,244 | $10,846 | 30.8% |
About Dr. Samuel Stanley, M.D
Dr. Samuel Stanley, M.D is a Orthopaedic Surgery healthcare provider based in Durham, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/06/2006. The National Provider Identifier (NPI) number assigned to this provider is 1457448961.
As a Medicare-enrolled provider, Stanley has provided services to 3,093 Medicare beneficiaries, totaling 9,197 services with total Medicare billing of $514,536. Data is available for 4 years (2020–2023), covering 44 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Location Durham, NC
- Active Since 10/06/2006
- Last Updated 07/08/2007
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1457448961
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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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