PAUL LACEY, M.D.
Gastroenterology Physician · HARRISBURG, PA
Individual Active NPI 1265432876
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 674 | 21,267 | $1,231,951 | $640,804 | $508,432 |
| 2023 | 632 | 14,896 | $961,861 | $450,785 | $357,123 |
| 2022 | 594 | 12,872 | $816,780 | $395,060 | $311,256 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,300 | $45 | $36 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 759 | $59 | $46 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 225 | $121 | $85 |
| J7050 | Infusion, normal saline solution, 250 cc | 168 | $1 | $1 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 107 | $110 | $78 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 100 | $157 | $113 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 94 | $43 | $34 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 94 | $85 | $57 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 87 | $172 | $172 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 81 | $46 | $36 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 80 | $238 | $199 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 78 | $135 | $109 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD 044099 L | PA |
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.