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BANICH, JAMESMD NPI 1801087044 Clinician

Plastic and Reconstructive Surgery · COLORADO SPRINGS, CO

Specialty Plastic and Reconstructive Surgery — from billed Medicare claims
Trained LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 27 years since medical school (class of 1999, self-reported to CMS)
Location COLORADO SPRINGS, CO · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 17 codes billed · 687 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
VANGUARD MEDICAL SPECIALISTS, LLC
2019–2026

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 2020-11

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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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 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 Beneficiary-episodes Avg charge Avg Medicare payment
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm
15260 Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
11102 Biopsy of related skin growth, first growth
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
14021 Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
12052 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more

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.