ANDREW GILBERT, MD
Family Medicine Physician · HELENA, MT
Individual Active NPI 1043269897
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 578 | 1,523 | $443,009 | $160,336 | $127,635 |
| 2023 | 603 | 1,585 | $439,500 | $169,090 | $133,661 |
| 2022 | 583 | 1,583 | $397,214 | $99,918 | $67,334 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 403 | $128 | $128 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 378 | $95 | $66 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 363 | $64 | $43 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 89 | $246 | $173 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 73 | $121 | $83 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 47 | $35 | $16 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 33 | $179 | $113 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 30 | $8 | $6 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 16 | $15 | $12 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 14 | $137 | $109 |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 11 | $128 | $128 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | $179 | $179 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | M9145 | ID |
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.