Active NPI 1275545329 Individual Practitioner Male Practitioner

Dr. Michael A Beneke , MD

Surgery • Sacramento, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Beneke, MD is a certified Surgery practicing in Sacramento, CA. With approximately 31 years of clinical experience since graduating from University Of Minnesota Medical School in 1995, Dr. Beneke delivers high-quality medical care to the local community at 2725 CAPITOL AVE.

Dr. Beneke is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2725 Capitol Ave
Suite 402

Sacramento, CA 958166004

Telephone 9162629404

Fax 9162629410

Associated Practice Facility / Clinic

🏢 Radiological Associates Of Sacramento Medical Group Inc Facility NPI 1548538929

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sacramento, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

110 Specialists

Practicing in Sacramento, CA (3346 Statewide)

Telehealth Adoption Rate

19.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beneke (31 Years) 31 Yrs

Sacramento Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$675.10	$230.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	39	$473.25	$190.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$542.00	$175.62
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	26	22	$128.15	$33.23
76536 Ultrasound of head and neck	26	26	$676.00	$122.51
76998 Ultrasonic guidance during surgery	25	25	$350.00	$45.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$357.00	$125.45
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$243.00	$95.25
49650 Repair of groin hernia using an endoscope	21	21	$2243.36	$482.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$152.00	$60.58
36500 Insertion of tube into vein with collection of blood sample	19	19	$784.00	$87.40
60500 Removal or exploration of parathyroid glands	18	18	$4468.51	$938.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$358.00	$117.91
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$98.00	$13.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$3077.80	$691.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	95	95	$656.00	$231.20
76536 Ultrasound of head and neck	65	62	$644.00	$124.83
76998 Ultrasonic guidance during surgery	43	43	$333.00	$61.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$461.00	$190.23
60500 Removal or exploration of parathyroid glands	31	31	$4238.90	$950.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$521.00	$171.31
36500 Insertion of tube into vein with collection of blood sample	26	26	$747.00	$90.01
49650 Repair of groin hernia using an endoscope	25	25	$2165.94	$492.32
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	22	$122.00	$33.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$343.00	$134.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$344.00	$118.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$145.00	$60.79
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2706.00	$630.51
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$98.00	$13.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	88	88	$631.00	$227.15
76536 Ultrasound of head and neck	58	56	$624.00	$124.37
76998 Ultrasonic guidance during surgery	41	40	$319.00	$62.43
60500 Removal or exploration of parathyroid glands	29	29	$4147.63	$999.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$448.00	$189.86
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	24	13	$116.00	$34.35
36500 Insertion of tube into vein with collection of blood sample	22	22	$715.00	$91.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$506.00	$175.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	19	$338.00	$105.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$233.00	$73.19
49650 Repair of groin hernia using an endoscope	17	17	$2138.50	$493.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$333.00	$135.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$650.00	$203.53
60512 Excision and reimplantation of parathyroid tissue	11	11	$912.00	$244.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	81	81	$613.00	$231.06
76536 Ultrasound of head and neck	43	43	$624.00	$128.27
76998 Ultrasonic guidance during surgery	38	38	$290.00	$63.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	36	$435.00	$187.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$323.00	$136.24
36500 Insertion of tube into vein with collection of blood sample	25	25	$681.00	$92.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	17	$226.00	$74.48
60500 Removal or exploration of parathyroid glands	22	22	$4220.40	$1003.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	16	$328.00	$106.90
49650 Repair of groin hernia using an endoscope	18	18	$2010.56	$456.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$324.00	$118.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$491.00	$177.11
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	14	14	$88.00	$14.83
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2582.00	$717.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$631.00	$207.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	90	90	$581.00	$219.37
76536 Ultrasound of head and neck	45	43	$622.00	$126.69
76998 Ultrasonic guidance during surgery	35	32	$290.00	$64.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$408.81	$155.31
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	28	28	$42.00	$9.25
60500 Removal or exploration of parathyroid glands	22	22	$4124.48	$966.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$309.00	$115.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$470.00	$173.34
36500 Insertion of tube into vein with collection of blood sample	17	17	$649.00	$95.21
49650 Repair of groin hernia using an endoscope	16	16	$1762.88	$375.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2497.50	$619.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	125	125	$581.00	$216.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$309.00	$113.62
76536 Ultrasound of head and neck	42	42	$622.00	$125.67
76998 Ultrasonic guidance during surgery	34	33	$290.00	$64.14
49650 Repair of groin hernia using an endoscope	31	31	$2092.70	$383.55
60500 Removal or exploration of parathyroid glands	28	28	$4220.40	$997.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$462.64	$172.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$414.00	$153.36
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$42.00	$9.24
36500 Insertion of tube into vein with collection of blood sample	22	22	$649.00	$94.33
49652 Repair of hernia using an endoscope	15	14	$2817.52	$740.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$310.00	$107.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	129	129	$566.00	$213.07
76536 Ultrasound of head and neck	62	61	$605.00	$125.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$298.57	$110.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$458.00	$166.64
49650 Repair of groin hernia using an endoscope	42	42	$2251.19	$450.78
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	32	$40.00	$9.04
60500 Removal or exploration of parathyroid glands	28	28	$4057.51	$956.52
76998 Ultrasonic guidance during surgery	28	28	$282.00	$62.96
36500 Insertion of tube into vein with collection of blood sample	21	21	$631.00	$92.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$403.00	$150.57
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$202.00	$75.96
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2553.87	$600.38
60512 Excision and reimplantation of parathyroid tissue	11	11	$845.00	$243.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	117	117	$551.16	$210.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	57	$393.00	$144.20
76536 Ultrasound of head and neck	44	44	$592.00	$119.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$447.00	$164.17
49650 Repair of groin hernia using an endoscope	25	25	$1922.98	$425.91
60500 Removal or exploration of parathyroid glands	24	24	$3825.72	$943.14
76998 Ultrasonic guidance during surgery	18	18	$276.00	$63.01
36500 Insertion of tube into vein with collection of blood sample	15	15	$618.00	$92.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$295.00	$111.10
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2558.40	$675.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A62335

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A623350 (CA)

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

2825 Capitol Ave, Sacramento, CA 958166039

Phone: 9164546600

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Emily Clyma , PA-C

Physician Assistant - Medical

NPI 1053933978

Physician Assistant (Certified)

Dr. Joyce Eaker , MD

Surgery

NPI 1063523611

Doctor of Medicine (M.D.)

Marisa Martin , PA-C

Physician Assistant

NPI 1194472407

Physician Assistant (Certified)

Dr. Fabian Alberto , MD

Surgery

NPI 1225492457

Doctor of Medicine (M.D.)

Silvia Pellecer , MPT, PA-C

Physician Assistant

NPI 1386743110

Master of Physical Therapy, Physician Assistant (Certified)

Jason George , PA-C

Physician Assistant

NPI 1396025409

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2015

Registered at 2725 CAPITOL AVE, SUITE 402, SACRAMENTO, CA 958166004 (Tel: 9162629404)

📍

Updated Business Mailing Address July 22, 2015

Registered at 10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 958272539 (Tel: 8004700071)

👤

Provider Name / Credentials Updated July 22, 2015

Recorded as MICHAEL BENEKE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Surgery (License #A62335 in CA)

🟢

Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275545329

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2006

Last Update: July 22, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10470 Old Placerville Rd, Suite 100

Sacramento, CA 958272539

Phone: 8004700071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.