JAMES HIGHAM-KESSLER, M.D.
Gastroenterology Physician · THORNTON, CO
Individual Active NPI 1003105636
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 211 | 294 | $245,712 | $44,293 | $35,274 |
| 2023 | 209 | 291 | $249,398 | $43,558 | $34,074 |
| 2022 | 187 | 281 | $240,018 | $41,416 | $30,501 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 49 | $234 | $185 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 47 | $116 | $93 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 42 | $101 | $74 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 21 | $165 | $165 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 20 | $151 | $105 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $108 | $80 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | $169 | $130 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $168 | $168 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 58776 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.