CONSTANTINE MELITAS, M.D.
Gastroenterology Physician · SANTA MARIA, CA
Individual Active NPI 1154731321
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 436 | 1,213 | $651,728 | $203,461 | $160,423 |
| 2023 | 274 | 971 | $505,269 | $146,981 | $112,832 |
| 2022 | 258 | 885 | $457,242 | $143,363 | $113,192 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 138 | $141 | $109 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 114 | $182 | $141 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 84 | $199 | $159 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 84 | $43 | $35 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 76 | $240 | $184 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 68 | $197 | $147 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | $250 | $202 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 58 | $159 | $128 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 51 | $236 | $197 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 48 | $98 | $66 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | $138 | $111 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 40 | $24 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A167829 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.