EDWARDO VERZOLA, M.D.
Gastroenterology Physician · FESTUS, MO
Individual Active NPI 1245381201
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 377 | 669 | $334,367 | $78,238 | $60,378 |
| 2023 | 384 | 755 | $376,974 | $91,493 | $72,711 |
| 2022 | 432 | 975 | $454,383 | $113,031 | $88,834 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 153 | $86 | $57 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 101 | $75 | $60 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 87 | $124 | $99 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 87 | $83 | $63 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 41 | $241 | $188 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 38 | $167 | $129 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 26 | $175 | $175 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 25 | $134 | $102 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | $106 | $83 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $175 | $131 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 14 | $174 | $174 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 | $116 | $85 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2000161966 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Missouri
- NPI 1720458797
- NPI 1063886851
- NPI 1619216801
- NPI 1407924954
- NPI 1336582972
- NPI 1720475403
- NPI 1558382911
- NPI 1336708759
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.