MARC SHEINMAN, D.O.
Gastroenterology Physician · ALTAMONTE SPRINGS, FL
Individual Active NPI 1215377486
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 346 | 682 | $265,478 | $75,922 | $57,693 |
| 2023 | 273 | 554 | $238,761 | $69,784 | $53,097 |
| 2022 | 290 | 632 | $316,011 | $75,707 | $58,549 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 111 | $49 | $37 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 81 | $71 | $53 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 70 | $82 | $60 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 63 | $147 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $88 | $67 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 57 | $125 | $94 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 53 | $128 | $87 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 | $164 | $120 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | $222 | $182 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | $77 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 18 | $109 | $73 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 14 | $126 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | OS17914 | FL |
| Gastroenterology Physician | 207RG0100X | 036148712 | 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.