EMMANUEL MCDONALD, DO
Gastroenterology Physician · KISSIMMEE, FL
Individual Active NPI 1063944551
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 110 | 195 | $78,983 | $22,971 | $17,030 |
| 2023 | 24 | 37 | $13,187 | $4,159 | $3,277 |
| 2022 | 28 | 32 | $10,039 | $3,201 | $2,626 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 39 | $75 | $55 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | $103 | $78 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $158 | $107 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $126 | $96 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 14 | $82 | $55 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | $116 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 | $88 | $53 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | $249 | $207 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $109 | $55 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | OS15591 | FL |
| Internal Medicine Physician | 207R00000X | OS15591 | FL |
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.