BEN THOMAS, D.O.
Gastroenterology Physician · BEAVERCREEK, OH
Individual Active NPI 1265670095
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 4,163 | $691,366 | $168,554 | $130,961 |
| 2023 | 415 | 5,471 | $780,694 | $208,672 | $161,914 |
| 2022 | 370 | 3,961 | $500,526 | $175,774 | $134,762 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 151 | $120 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 72 | $86 | $55 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 62 | $103 | $82 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 61 | $236 | $196 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 | $158 | $114 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 45 | $59 | $46 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | $94 | $75 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $106 | $63 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $165 | $165 |
| 43450 | Dilation of esophagus | 17 | $37 | $30 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $167 | $167 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | $123 | $98 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 34011164 | OH |
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.