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Dr. Benito Antonio Pedraza   image

Dr. Benito Antonio Pedraza

168 N Brent St Ste 404
Ventura CA 93003
805 416-6525
Medical School: Temple University School Of Medicine - 2000
Accepts Medicare: No
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: A78582
NPI: 1851323026
Taxonomy Codes:
207RG0100X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Benito Antonio Pedraza is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:43262 Description:Endo cholangiopancreatograph Average Price:$1,775.58 Average Price Allowed
By Medicare:
$177.43
HCPCS Code:43255 Description:Operative upper GI endoscopy Average Price:$1,399.83 Average Price Allowed
By Medicare:
$300.56
HCPCS Code:45385 Description:Lesion removal colonoscopy Average Price:$1,358.60 Average Price Allowed
By Medicare:
$320.95
HCPCS Code:45381 Description:Colonoscopy submucous inj Average Price:$700.00 Average Price Allowed
By Medicare:
$31.53
HCPCS Code:45380 Description:Colonoscopy and biopsy Average Price:$750.56 Average Price Allowed
By Medicare:
$193.38
HCPCS Code:43248 Description:Uppr gi endoscopy/guide wire Average Price:$696.00 Average Price Allowed
By Medicare:
$170.10
HCPCS Code:43239 Description:Upper gi endoscopy biopsy Average Price:$561.78 Average Price Allowed
By Medicare:
$123.27
HCPCS Code:45378 Description:Diagnostic colonoscopy Average Price:$650.00 Average Price Allowed
By Medicare:
$219.70
HCPCS Code:43235 Description:Uppr gi endoscopy diagnosis Average Price:$553.74 Average Price Allowed
By Medicare:
$152.16
HCPCS Code:99222 Description:Initial hospital care Average Price:$200.00 Average Price Allowed
By Medicare:
$138.84
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$155.30 Average Price Allowed
By Medicare:
$113.84
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$110.00 Average Price Allowed
By Medicare:
$73.38
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$65.00 Average Price Allowed
By Medicare:
$39.97
HCPCS Code:99202 Description:Office/outpatient visit new Average Price:$100.00 Average Price Allowed
By Medicare:
$79.26
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$120.00 Average Price Allowed
By Medicare:
$105.10
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$125.00 Average Price Allowed
By Medicare:
$113.00
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$80.00 Average Price Allowed
By Medicare:
$76.64
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$50.00 Average Price Allowed
By Medicare:
$46.89

HCPCS Code Definitions

99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99233
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
43239
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
99222
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
43235
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
45380
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
45378
Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)
43262
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy
45381
Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance
43255
Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method
43248
Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire
99202
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
45385
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
99212
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1497862510
Internal Medicine
1,394
1700838778
Diagnostic Radiology
785
1912934779
Anesthesiology
690
1871547976
Diagnostic Radiology
560
1033185244
Internal Medicine
558
1124072467
Diagnostic Radiology
540
1619971538
Cardiovascular Disease (Cardiology)
508
1710924006
Family Practice
490
1992715155
Gastroenterology
404
1427057843
Nephrology
397
*These referrals represent the top 10 that Dr. Pedraza has made to other doctors

Publications

None Found

Map & Directions

168 N Brent St Ste 404 Ventura, CA 93003
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