ADAM SCHIRO, M.D.
Gastroenterology Physician · MONROE, WI
Individual Active NPI 1164711081
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 542 | 1,035 | $1,283,866 | $111,888 | $86,986 |
| 2023 | 529 | 1,090 | $1,406,693 | $124,373 | $95,725 |
| 2022 | 471 | 891 | $1,183,831 | $102,339 | $80,090 |
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 | 219 | $90 | $64 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 198 | $5 | $3 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 175 | $229 | $179 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 65 | $136 | $97 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $98 | $70 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 42 | $89 | $67 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 42 | $164 | $164 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $123 | $85 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 31 | $134 | $107 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $166 | $166 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $121 | $93 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 60512-20 | WI |
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.