DANNY SHEARER, MD
Gastroenterology Physician · WASHINGTON, DC
Individual Active NPI 1275594905
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 425 | 975 | $513,736 | $178,645 | $138,517 |
| 2023 | 484 | 1,208 | $624,899 | $218,265 | $167,961 |
| 2022 | 428 | 1,140 | $579,336 | $217,524 | $164,300 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 290 | $206 | $152 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 219 | $150 | $112 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 164 | $194 | $134 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 76 | $180 | $152 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 71 | $133 | $106 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 39 | $282 | $241 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 37 | $200 | $200 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 36 | $210 | $210 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $149 | $120 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD20700 | DC |
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.