JORGE GILBERT, M.D.
Gastroenterology Physician · SIOUX FALLS, SD
Individual Active NPI 1205831377
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 428 | 628 | $944,707 | $86,147 | $72,484 |
| 2023 | 401 | 575 | $844,245 | $78,876 | $65,421 |
| 2022 | 485 | 751 | $982,748 | $94,695 | $77,267 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 136 | $115 | $96 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 118 | $232 | $195 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 61 | $168 | $168 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | $93 | $74 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 56 | $61 | $45 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | $95 | $73 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 39 | $162 | $162 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 | $125 | $83 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 17 | $77 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 16 | $92 | $66 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 15 | $164 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 4837 | SD |
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.