DOUGLAS GRUNWALD, MD
Gastroenterology Physician · HAMDEN, CT
Individual Active NPI 1154616001
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 274 | 10,087 | $634,490 | $271,062 | $214,609 |
| 2023 | 281 | 4,059 | $464,954 | $146,916 | $116,176 |
| 2022 | 309 | 8,769.5 | $546,575 | $204,878 | $159,781 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 6,600 | $22 | $17 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,640 | $31 | $25 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 104 | $99 | $70 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 71 | $140 | $105 |
| J7050 | Infusion, normal saline solution, 250 cc | 52 | $1 | $1 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 51 | $272 | $230 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | $87 | $67 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 28 | $145 | $117 |
| 96415 | Administration of chemotherapy into vein, each additional hour | 27 | $31 | $25 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 25 | $70 | $54 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | $140 | $113 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $110 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 56120 | CT |
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.