ADRIANNE LAJOIE, M.D.
Gastroenterology Physician · ENCINITAS, CA
Individual Active NPI 1225253651
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 597 | 14,888 | $1,547,145 | $340,408 | $269,881 |
| 2023 | 528 | 3,451 | $992,099 | $199,834 | $156,185 |
| 2022 | 463 | 6,765 | $623,744 | $176,141 | $139,221 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 196 | $71 | $56 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $144 | $107 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 114 | $110 | $86 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 94 | $187 | $137 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 90 | $102 | $76 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $266 | $224 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 78 | $187 | $150 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 78 | $125 | $81 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 68 | $201 | $201 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 52 | $158 | $128 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 42 | $76 | $60 |
| 43450 | Dilation of esophagus | 40 | $46 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A84301 | CA |
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.