Anthony V Benenati DPM PC
Anthony V Benenati DPM PC was paid $501K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoANTHONY V BENENATI DPM PC
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
33aNPI1992735252assigned 07/03/2006
33bProvider typePodiatrist
28Total paid$501K
24GClaims15,842
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in Michigan
Rank by total paid#6 of 147
Median peer was paid$19K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,367 | $119K | |
| 2019 | 2,384 | $80K | |
| 2020 | 2,104 | $73K | |
| 2021 | 2,008 | $77K | |
| 2022 | 1,472 | $54K | |
| 2023 | 2,338 | $53K | |
| 2024incomplete | 2,169 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 5,398 | 4,836 | $230K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 2,376 | 2,357 | $138K |
| 11721 | 11% | 2,458 | 2,443 | $57K | |
| 73630 | 8.5% | 2,399 | 1,880 | $43K | |
| 17110 | 2.3% | 182 | 144 | $12K | |
| 20550 | 1.5% | 295 | 183 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 217 | 206 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 41 | 38 | $2K |
| 73610 | <1% | 126 | 111 | $2K | |
| 11057 | <1% | 44 | 44 | $2K | |
| 11056 | <1% | 24 | 24 | $740.76 | |
| 20605 | <1% | 17 | 15 | $483.30 |
15 more codes
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 14 | $412.81 |
| 73650 | <1% | 17 | $187.11 | |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | <1% | 696 | $2.05 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 73 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 609 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 64 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 88 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 26 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 49 | $0.00 |
| G8410 | Footwear evaluation performed and documented | 0% | 43 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 390 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 92 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 63 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 28 | $0.00 |
| 3046F | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBENENATI, ANTHONY (OWNER)