BRIAN SMITH, MD
Gastroenterology Physician · WINSTON SALEM, NC
Individual Active NPI 1093862898
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 405 | 671 | $362,115 | $82,983 | $65,630 |
| 2023 | 433 | 715 | $397,125 | $91,917 | $73,297 |
| 2022 | 370 | 600 | $310,331 | $80,333 | $62,190 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 140 | $120 | $89 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $232 | $194 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 64 | $155 | $115 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 59 | $97 | $72 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $84 | $63 |
| 43450 | Dilation of esophagus | 50 | $37 | $28 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | $88 | $66 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 31 | $133 | $110 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | $45 | $35 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $167 | $167 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 | $105 | $71 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $153 | $122 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2008-00238 | NC |
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.