Physician
Gastroenterology
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $1,126 | $248 | $193 | 12 |
45380 Biopsy of large bowel using a flexible endoscope | $1,011 | $144 | $118 | 38 |
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $844 | $94 | $75 | 43 |
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $679 | $104 | $84 | 17 |
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $660 | $181 | $181 | 12 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $404 | $129 | $103 | 29 |
99204 New patient office or other outpatient visit, 45-59 minutes | $384 | $131 | $96 | 12 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $241 | $92 | $66 | 56 |
99203 New patient office or other outpatient visit, 30-44 minutes | $226 | $82 | $66 | 11 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $163 | $65 | $49 | 51 |
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | $17 | $5 | $5 | 27 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.