ROY MATSUYAMA, M.D.
Gastroenterology Physician · KAHULUI, HI
Individual Active NPI 1144356783
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 233 | 488 | $266,089 | $70,725 | $48,605 |
| 2023 | 239 | 532 | $259,972 | $72,827 | $50,483 |
| 2022 | 278 | 644 | $328,234 | $87,473 | $62,183 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 91 | $223 | $148 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 78 | $12 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 51 | $130 | $94 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | $71 | $55 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 46 | $170 | $109 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 42 | $190 | $120 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 23 | $177 | $127 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $239 | $179 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 22 | $178 | $106 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | $164 | $128 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 14 | $107 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 17851 | HI |
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.