BRUCE KALMIN, MD
Gastroenterology Physician · CANTON, GA
Individual Active NPI 1093805509
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 584 | 2,936 | $675,534 | $188,250 | $149,622 |
| 2023 | 638 | 9,959 | $1,033,764 | $351,267 | $278,626 |
| 2022 | 643 | 7,042 | $959,956 | $314,611 | $246,692 |
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 | 214 | $77 | $61 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 136 | $90 | $62 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | $92 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 87 | $126 | $98 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 85 | $128 | $102 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $241 | $201 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 55 | $94 | $72 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 46 | $113 | $94 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 41 | $178 | $178 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 40 | $177 | $141 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 34 | $81 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $110 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 54441 | GA |
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.