ANTHONY BALDONI, M.D.
Gastroenterology Physician · ROANOKE, VA
Individual Active NPI 1134508112
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 264 | 368 | $172,464 | $46,005 | $35,316 |
| 2023 | 499 | 732 | $331,208 | $98,054 | $77,288 |
| 2022 | 462 | 708 | $256,238 | $92,799 | $72,267 |
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 | 63 | $222 | $186 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 59 | $87 | $64 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 45 | $85 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | $124 | $89 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | $75 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 17 | $126 | $78 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $105 | $77 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 14 | $114 | $73 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 | $61 | $49 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0101272029 | VA |
| Internal Medicine Physician | 207R00000X | 125066414 | IL | |
| Internal Medicine Physician | 207R00000X | 036145420 | IL | |
| Gastroenterology Physician | 207RG0100X | 036145420 | IL |
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.