Active NPI 1770507246 Individual Practitioner Male Practitioner

Benjamin M Holman , PA

Physician Assistant - Surgical • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Holman, PA is a certified Physician Assistant - Surgical practicing in Peoria, IL. With approximately 20 years of clinical experience since completing medical education in 2006, Benjamin Holman delivers high-quality medical care to the local community at 6000 N ALLEN ROAD.

Benjamin Holman is affiliated with Midwest Orthopaedic Center S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of shoulder, minimum of 2 views, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6000 N Allen Road

Peoria, IL 616143294

Telephone 3096911400

Associated Practice Facility / Clinic

🏢 Midwest Orthopaedic Center S C Facility NPI 1710938006

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Peoria, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +5.7 yrs vs City Avg

City Avg: 14.3 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Peoria, IL (609 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holman (20 Years) 20 Yrs

Peoria Specialty Average (14.3 Years) 14.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,360	148	$2.25	$0.98
73030 X-ray of shoulder, minimum of 2 views	252	213	$103.77	$28.66
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	200	150	$410.29	$86.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	65	$85.00	$45.62
99213 Established patient office or other outpatient visit, typically 15 minutes	78	76	$130.00	$73.83
23472 Prosthetic repair of shoulder joint, total shoulder	54	53	$1905.94	$193.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$175.00	$90.96
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1002.30	$23.04
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$1133.10	$143.00
23600 Closed treatment of broken top of upper arm bone	12	12	$960.00	$280.01
73564 X-ray of knee, 4 or more views	11	11	$136.36	$38.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$225.00	$100.26
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$170.00	$68.70
29828 Release of shoulder biceps tendon using an endoscope	11	11	$1266.30	$77.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,118	117	$2.25	$1.08
73030 X-ray of shoulder, minimum of 2 views	231	186	$102.38	$28.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	155	115	$337.13	$90.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	47	$85.00	$45.82
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$130.00	$73.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$175.00	$90.15
23472 Prosthetic repair of shoulder joint, total shoulder	41	40	$4420.56	$194.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$2533.37	$23.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$225.00	$108.40
73564 X-ray of knee, 4 or more views	16	16	$136.72	$42.19
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$3068.51	$143.82
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$170.00	$69.62
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2809.85	$69.23
23600 Closed treatment of broken top of upper arm bone	11	11	$960.00	$279.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	546	58	$2.40	$1.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	68	56	$326.25	$91.93
73030 X-ray of shoulder, minimum of 2 views	64	52	$112.58	$11.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$65.00	$46.61
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$165.00	$84.19
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$130.00	$74.89
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$1485.00	$192.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$93.09
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$125.00	$57.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	712	68	$2.40	$1.28
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	97	71	$330.36	$94.86
73030 X-ray of shoulder, minimum of 2 views	79	65	$116.27	$19.64
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$165.00	$85.06
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$130.00	$75.87
23472 Prosthetic repair of shoulder joint, total shoulder	27	27	$1613.33	$199.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$65.00	$46.32
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$816.00	$24.12
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$952.50	$146.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$195.00	$93.56
29828 Release of shoulder biceps tendon using an endoscope	15	15	$1030.50	$74.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	892	83	$2.40	$1.45
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	118	86	$329.32	$89.20
73030 X-ray of shoulder, minimum of 2 views	41	39	$112.68	$8.51
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$130.00	$62.37
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$165.00	$84.47
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$1485.00	$201.82
29827 Repair of shoulder rotator cuff using an endoscope	15	14	$952.50	$149.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	14	$816.00	$24.64
23430 Anchoring of biceps tendon	13	12	$733.50	$51.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$89.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	342	43	$2.40	$1.52
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	50	47	$324.80	$83.92
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$165.00	$86.79
23472 Prosthetic repair of shoulder joint, total shoulder	29	28	$1485.00	$203.25
23430 Anchoring of biceps tendon	23	22	$733.50	$51.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$816.00	$24.25
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$952.50	$142.61
29828 Release of shoulder biceps tendon using an endoscope	11	11	$1030.50	$66.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	198	43	$9.00	$7.37
99221 Initial hospital inpatient care per day, typically 30 minutes	67	67	$165.00	$85.73
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	57	45	$315.44	$81.43
23472 Prosthetic repair of shoulder joint, total shoulder	41	41	$1823.05	$200.42
23430 Anchoring of biceps tendon	29	29	$851.53	$50.68
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$130.00	$60.03
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$935.00	$24.51
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$952.50	$144.06
29828 Release of shoulder biceps tendon using an endoscope	11	11	$1249.09	$65.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	403	64	$11.60	$6.77
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	121	72	$362.60	$82.69
99213 Established patient office or other outpatient visit, typically 15 minutes	57	53	$116.58	$59.74
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$243.13	$85.55
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$1631.00	$199.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$805.48	$24.52
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$1056.47	$143.60
23430 Anchoring of biceps tendon	18	18	$830.92	$50.59
29822 Removal of shoulder joint tissue using an endoscope	14	14	$600.60	$12.72
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$751.23	$31.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$67.31	$35.40
73030 X-ray of shoulder, minimum of 2 views	11	11	$114.55	$9.42

Medical Specialties & State Licenses

CMS Verified: 2019-12-31

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License IL 085002725

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

085002725 (IL)

Hospital & Practice Group Affiliations

Midwest Orthopaedic Center S C

6000 N Allen Rd, Peoria, IL 616143294

Phone: 3096911400

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Podiatric Medicine

Jacob Day

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Linda Elliott , PTA

Physical Therapy Assistant

NPI 1023151024

Physical Therapist Assistant

Lucas Roth , PA-C

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Physician Assistant (Certified)

Stephanie Randell , OT

Occupational Therapist

NPI 1083659247

Occupational Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2011

Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)

📍

Updated Business Mailing Address June 30, 2011

Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)

👤

Provider Name / Credentials Updated June 30, 2011

Recorded as BENJAMIN HOLMAN, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2011

Physician Assistant (License #085002725 in IL)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770507246

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: December 31, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6000 N Allen Road

Peoria, IL 616143294

Phone: 3096911400

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.