ANTHONY MADRID, M.D.
Gastroenterology Physician · AURORA, CO
Individual Active NPI 1134154313
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 320 | 557 | $383,354 | $75,423 | $60,792 |
| 2023 | 258 | 448 | $301,894 | $64,107 | $50,499 |
| 2022 | 274 | 429 | $302,409 | $64,179 | $48,214 |
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 | 88 | $238 | $195 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 80 | $95 | $73 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 63 | $112 | $91 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | $124 | $95 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 35 | $143 | $103 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | $75 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 31 | $126 | $88 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 26 | $165 | $165 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 | $169 | $169 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $164 | $118 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 41706 | CO |
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.