ERIKA DEGAYNER, D.O.
Gastroenterology Physician · SAGINAW, MI
Individual Active NPI 1184740169
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 230 | 332 | $145,013 | $49,362 | $39,988 |
| 2023 | 371 | 996 | $216,807 | $84,470 | $65,773 |
| 2022 | 394 | 1,468 | $242,789 | $92,546 | $72,399 |
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 | 68 | $235 | $197 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $121 | $94 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $121 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $86 | $40 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 19 | $125 | $101 |
| 43450 | Dilation of esophagus | 19 | $38 | $28 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 16 | $241 | $203 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 15 | $162 | $162 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $175 | $175 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $159 | $127 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $109 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 5101014389 | MI |
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.