MICHAEL ZEREGA, MD
Gastroenterology Physician · LAKE ST LOUIS, MO
Individual Active NPI 1073505178
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 373 | 552 | $367,988 | $82,508 | $65,089 |
| 2023 | 365 | 593 | $371,689 | $85,500 | $68,514 |
| 2022 | 382 | 624 | $364,516 | $90,086 | $70,451 |
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 | 131 | $241 | $199 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $122 | $76 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $87 | $53 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | $79 | $56 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 34 | $174 | $174 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $255 | $203 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $103 | $62 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 19 | $89 | $72 |
| 91010 | Study of esophagus to assess movement | 15 | $61 | $46 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 14 | $101 | $81 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $174 | $174 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $158 | $97 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2000154596 | MO |
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.