NEVVI Medicare utilization intelligence

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FUSMAN, BENJAMINM.D. NPI 1376540351 Clinician

Interventional Cardiology · MOUNTAIN LAKES, NJ

Specialty Interventional Cardiology — from billed Medicare claims
Trained JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY — medical school, self-reported to CMS
In practice about 38 years since medical school (class of 1988, self-reported to CMS)
Location MOUNTAIN LAKES, NJ · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 24 codes billed · 5,378 disclosed services (CY2024 — most recent year in data)
Current groups
member of 2 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Group affiliation since 2019

20192026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2016-02

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report premiumpremium premiumpremium
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only premiumpremium premiumpremium
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes premiumpremium premiumpremium
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function premiumpremium premiumpremium
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes premiumpremium premiumpremium
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days premiumpremium premiumpremium
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes premiumpremium premiumpremium
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes premiumpremium premiumpremium
76937 Ultrasonic guidance for blood vessel access premiumpremium premiumpremium
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist premiumpremium premiumpremium
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician premiumpremium premiumpremium
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
92978 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel premiumpremium premiumpremium
93294 Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days premiumpremium premiumpremium
99291 Critical care, first 30-74 minutes premiumpremium premiumpremium
93308 Ultrasound of heart, follow-up premiumpremium premiumpremium
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch premiumpremium premiumpremium
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days premiumpremium premiumpremium
93312 Ultrasound of heart with probe in esophagus, with report premiumpremium premiumpremium
93320 Ultrasound of heart blood flow, valves and chambers premiumpremium premiumpremium
93325 Ultrasound of heart with color-depicted blood flow, rate and valve function premiumpremium premiumpremium
92960 External shock to heart to regulate heart beat premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.