ALAN COX, MD
Gastroenterology Physician · LOUISVILLE, KY
Individual Active NPI 1154305696
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 640 | 6,334 | $1,152,609 | $236,459 | $188,802 |
| 2023 | 639 | 6,649 | $879,620 | $275,276 | $215,391 |
| 2022 | 663 | 6,822 | $743,374 | $303,703 | $239,411 |
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 | 284 | $231 | $192 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 169 | $66 | $51 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 81 | $84 | $60 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 59 | $122 | $96 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 53 | $118 | $77 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 46 | $72 | $57 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 44 | $80 | $66 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 42 | $121 | $94 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 33 | $156 | $156 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 28 | $77 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 27 | $155 | $93 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 23 | $120 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 28018 | KY |
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.