MICHEL NUSSBAUM, M.D.
Gastroenterology Physician · FRESH MEADOWS, NY
Individual Active NPI 1215917935
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 505 | 1,121 | $600,042 | $107,427 | $83,008 |
| 2023 | 495 | 1,107 | $607,328 | $110,471 | $85,700 |
| 2022 | 448 | 1,077 | $564,374 | $109,404 | $83,824 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 240 | $60 | $42 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 198 | $91 | $72 |
| 36415 | Insertion of needle into vein for collection of blood sample | 195 | $9 | $9 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 104 | $150 | $113 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 83 | $106 | $85 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 81 | $126 | $89 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 55 | $121 | $94 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 32 | $207 | $163 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 30 | $206 | $143 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $125 | $94 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | $295 | $231 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $219 | $219 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 136263 | NY |
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.