ALEX TOSIOU, M.D.
Gastroenterology Physician · LAKE FOREST, IL
Individual Active NPI 1184602732
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 645 | 1,271 | $1,241,191 | $181,831 | $144,977 |
| 2023 | 582 | 1,114 | $1,002,481 | $156,446 | $125,822 |
| 2022 | 581 | 1,168 | $1,016,908 | $164,762 | $128,559 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 168 | $104 | $87 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 154 | $266 | $223 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 130 | $177 | $122 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 121 | $133 | $96 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 94 | $71 | $54 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 87 | $65 | $53 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 69 | $192 | $154 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 59 | $120 | $99 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | $138 | $104 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 44 | $257 | $208 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 44 | $83 | $65 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 38 | $52 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 036093289 | IL |
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.