npidexNPI registry + Medicare data

CLAUDIA SANMIGUEL, M.D.

Gastroenterology Physician · SANTA MONICA, CA

Individual Active NPI 1144474610

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024319850$579,297$119,718$93,507
2023341900$625,686$132,432$105,747
2022293743$512,204$112,796$88,785

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more239$192$150
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes115$81$65
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope67$89$72
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes55$136$103
45380Biopsy of large bowel using a flexible endoscope51$149$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more38$139$111
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes34$123$98
91065Measurement of hydrogen in breath to test for stomach and bowel symptoms33$86$59
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more24$180$109
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more21$237$153
91122Study of rectum sensitivity and function17$88$71
91120Test for tone and sensation of rectum and anus17$47$38

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓A116218CA
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Gastroenterology Physician providers in California

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.