BRETT HYMEL, MD
Gastroenterology Physician · MARRERO, LA
Individual Active NPI 1134396773
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 543 | 3,495 | $781,085 | $195,020 | $153,311 |
| 2023 | 472 | 3,731 | $786,861 | $210,065 | $165,980 |
| 2022 | 377 | 1,118 | $483,219 | $118,582 | $92,240 |
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 | 146 | $76 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 128 | $121 | $85 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 108 | $124 | $99 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 101 | $71 | $57 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 99 | $84 | $60 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 65 | $230 | $191 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 | $157 | $114 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 40 | $60 | $48 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | $243 | $194 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $214 | $169 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 28 | $85 | $56 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 25 | $82 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD.203301 | LA |
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.