JUSTIN TOMAL, M.D.
Gastroenterology Physician · NAMPA, ID
Individual Active NPI 1093129751
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 351 | 1,482 | $570,590 | $99,384 | $78,420 |
| 2023 | 381 | 1,283 | $391,488 | $99,283 | $79,473 |
| 2022 | 358 | 1,124 | $240,992 | $89,086 | $69,800 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 247 | $5 | $4 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 106 | $226 | $187 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 90 | $60 | $43 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 44 | $112 | $83 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 39 | $87 | $71 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 | $118 | $91 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | $97 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $153 | $110 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 23 | $112 | $85 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $45 | $36 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | $160 | $160 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $166 | $132 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | M-15090 | ID |
| Internal Medicine Physician | 207R00000X | 125065349 | IL | |
| Hospitalist Physician | 208M00000X | 55672 | TN |
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.