ANDREW SCHWARTZ, MD
Gastroenterology Physician · LEHIGHTON, PA
Individual Active NPI 1134189467
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 499 | 899 | $476,826 | $119,164 | $98,179 |
| 2023 | 423 | 870 | $522,750 | $112,094 | $86,565 |
| 2022 | 457 | 939 | $591,990 | $125,124 | $94,545 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 185 | $82 | $66 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 118 | $137 | $113 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 93 | $262 | $218 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | $102 | $82 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 56 | $144 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 | $69 | $56 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $140 | $108 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 37 | $136 | $110 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 37 | $152 | $123 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $111 | $90 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 28 | $193 | $193 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 24 | $182 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD034315E | PA |
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.