Active NPI 1639465024 Individual Practitioner Male Practitioner

Dr. Benjamin Chia , MD

Orthopaedic Surgery - Hand Surgery • Edmonds, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Chia, MD is a certified Orthopaedic Surgery - Hand Surgery practicing in Edmonds, WA. With approximately 15 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2011, Dr. Chia delivers high-quality medical care to the local community at 21401 72ND AVE W.

Dr. Chia is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21401 72nd Ave W

Edmonds, WA 980267702

Telephone 4254121874

Fax 4253041103

Associated Practice Facility / Clinic

🏢 Optum Care Washington Pllc Facility NPI 1467907287

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Edmonds, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -3.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Edmonds, WA (91 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chia (15 Years) 15 Yrs

Edmonds Specialty Average (18.5 Years) 18.5 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	761	47	$3.00	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	156	24	$5.00	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	81	$253.22	$127.13
73110 X-ray of wrist, minimum of 3 views	118	57	$94.31	$41.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	88	$346.30	$178.56
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg	115	27	$0.10	$0.01
73130 X-ray of hand, minimum of 3 views	107	73	$92.32	$37.75
20550 Injection into tendon or ligament	71	42	$161.38	$53.96
20605 Aspiration and/or injection of medium joint or joint capsule	42	29	$207.60	$56.42
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$175.93	$90.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$364.88	$163.22
73140 X-ray of finger, minimum of 2 views	38	28	$91.26	$38.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$458.97	$213.27
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	29	25	$132.00	$23.36
29075 Application of elbow to finger cast	27	23	$278.00	$89.47
29105 Application of long arm splint (shoulder to hand)	14	13	$276.43	$81.06
Q4017 Cast supplies, long arm splint, adult (11 years +), plaster	14	13	$50.00	$10.92
26055 Incision of tendon covering	12	11	$996.00	$197.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	612	43	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	77	$250.04	$126.37
73110 X-ray of wrist, minimum of 3 views	99	50	$92.93	$41.30
99213 Established patient office or other outpatient visit, typically 15 minutes	91	59	$175.00	$89.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	17	$5.00	$1.08
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg	80	19	$0.10	$0.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	58	$340.00	$175.44
20550 Injection into tendon or ligament	58	41	$162.40	$56.53
73130 X-ray of hand, minimum of 3 views	56	35	$93.64	$36.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$361.00	$165.48
73140 X-ray of finger, minimum of 2 views	52	27	$91.00	$38.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.00	$111.58
29848 Release of wrist ligament using an endoscope	17	16	$1629.00	$454.56
26055 Incision of tendon covering	17	15	$996.00	$208.96
20605 Aspiration and/or injection of medium joint or joint capsule	15	15	$213.93	$57.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$455.00	$204.40
29075 Application of elbow to finger cast	13	13	$282.00	$89.58
29105 Application of long arm splint (shoulder to hand)	12	11	$285.00	$79.91
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	11	11	$132.00	$22.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	630	51	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	94	$250.39	$128.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$361.00	$168.12
73110 X-ray of wrist, minimum of 3 views	61	35	$89.84	$41.37
20550 Injection into tendon or ligament	47	41	$161.00	$57.65
73140 X-ray of finger, minimum of 2 views	43	32	$84.40	$35.91
73130 X-ray of hand, minimum of 3 views	33	22	$90.06	$36.99
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$175.00	$91.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	22	$50.00	$23.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$340.00	$181.60
29848 Release of wrist ligament using an endoscope	13	12	$1629.00	$498.06
29075 Application of elbow to finger cast	13	11	$282.00	$87.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	11	$3.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	48	$264.99	$131.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	17	$4.33	$1.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$380.90	$170.19
73110 X-ray of wrist, minimum of 3 views	36	22	$95.83	$38.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	24	$371.57	$183.88
20550 Injection into tendon or ligament	29	24	$156.17	$56.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$536.24	$213.95
73140 X-ray of finger, minimum of 2 views	18	14	$85.53	$31.54
29125 Application of nonmoveable forearm to hand splint	16	12	$191.33	$62.18
29075 Application of elbow to finger cast	14	12	$271.39	$80.46
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	13	11	$126.81	$20.40
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	12	12	$50.00	$22.92
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	12	12	$170.00	$68.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	64	$276.00	$110.88
73110 X-ray of wrist, minimum of 3 views	44	20	$94.09	$36.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$276.50	$107.12
73140 X-ray of finger, minimum of 2 views	33	28	$82.73	$33.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$421.25	$166.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	11	$4.00	$1.43
73130 X-ray of hand, minimum of 3 views	25	16	$89.75	$35.08
29280 Placement of strapping to hand or finger	23	23	$131.80	$27.47
20550 Injection into tendon or ligament	14	12	$147.00	$54.62
Q4049 Finger splint, static	13	11	$25.77	$2.17
29125 Application of nonmoveable forearm to hand splint	12	11	$176.30	$59.39
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	11	11	$205.50	$100.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	43	$266.75	$107.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$267.25	$108.51
73140 X-ray of finger, minimum of 2 views	26	14	$80.10	$31.12
73110 X-ray of wrist, minimum of 3 views	22	12	$90.45	$33.48
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$181.25	$74.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$267.14	$105.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$266.54	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$181.25	$73.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$262.75	$106.74

Medical Specialties & State Licenses

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License WA MD60663349

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

7320 216th St Sw, Edmonds, WA 980268006

Phone: 4256733900

Secondary Practice Locations

22 S Greene St, S11b

Baltimore, MD 212011544

Phone: 4103288915

3927 Rucker Ave

Everett, WA 982014833

Phone: 4253395422

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Richard Nielsen , AuD

Audiologist

NPI 1164071205

Doctor of Audiology

Dr. Andrew Pastor , MD

Orthopaedic Surgery

NPI 1326207051

Doctor of Medicine (M.D.)

Laurie Walters , OTR, L, CHT

Occupational Therapist

NPI 1346311503

Occupational Therapist Registered, L, Certified Hand Therapist

Dr. Craig Mcallister , MD

Orthopaedic Surgery

NPI 1891754792

Doctor of Medicine (M.D.)

Dr. Craig Pastor , MD

Orthopaedic Surgery - Hand Surgery

NPI 1962664201

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 04, 2019

Registered at 21401 72ND AVE W, EDMONDS, WA 980267702 (Tel: 4254121874)

📍

Updated Business Mailing Address March 04, 2019

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4254121874)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2019

Orthopaedic Surgery (License #MD60663349 in WA)

✅

NPI Profile Active September 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2011

Registered at 22 S GREENE ST, S11B, BALTIMORE, MD 212011544 (Tel: 4103288915)

📍

Updated Business Mailing Address September 04, 2011

Registered at 22 S GREENE ST, S11B, BALTIMORE, MD 212011544 (Tel: 4103288915)

👤

Provider Name / Credentials Updated September 04, 2011

Recorded as BENJAMIN CHIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 23, 2011

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: 1639465024

Entity Type:

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

Enumeration Date: June 23, 2011

Last Update: March 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4254121874

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.