DARELL COVINGTON, M.D.
Colon & Rectal Surgery Physician · EAST STROUDSBURG, PA
Individual Active NPI 1134128622
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 445 | 817 | $389,499 | $106,708 | $85,766 |
| 2023 | 498 | 896 | $600,032 | $122,000 | $91,409 |
| 2022 | 591 | 1,148 | $828,531 | $155,064 | $115,860 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 154 | $89 | $64 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 128 | $107 | $71 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 96 | $248 | $211 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 92 | $70 | $47 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 71 | $180 | $180 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 45 | $100 | $82 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 41 | $55 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 39 | $127 | $95 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 39 | $177 | $177 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 23 | $16 | $13 |
| 46600 | Diagnostic exam of anus using an endoscope | 17 | $114 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $165 | $124 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | MD027319E | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Colon & Rectal Surgery Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.