RAFAEL FIGUEROA DUGARTE, M.D.
Colon & Rectal Surgery Physician · FARMINGTON, MO
Individual Active NPI 1265699805
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 578 | $398,828 | $108,446 | $83,570 |
| 2023 | 321 | 613 | $359,538 | $97,076 | $75,141 |
| 2022 | 348 | 637 | $383,182 | $110,316 | $84,193 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 116 | $101 | $70 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 82 | $161 | $124 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 58 | $116 | $85 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | $91 | $64 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 | $83 | $60 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | $234 | $181 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $122 | $94 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 18 | $161 | $128 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 17 | $169 | $169 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | $74 | $59 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $169 | $169 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $94 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 2009018415 | MO |
| Surgery Physician | 208600000X | 2009018415 | MO |
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.