ANDREW SIMMELINK
Gastroenterology Physician · CHARLOTTE, NC
Individual Active NPI 1295120061
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 457 | 811 | $713,497 | $128,862 | $103,373 |
| 2023 | 513 | 1,020 | $834,694 | $146,469 | $116,489 |
| 2022 | 489 | 1,055 | $784,656 | $136,885 | $108,452 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 166 | $245 | $203 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 117 | $88 | $69 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 69 | $185 | $142 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | $80 | $63 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 49 | $101 | $83 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | $120 | $96 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 43 | $131 | $96 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | $175 | $138 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 23 | $135 | $95 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 22 | $173 | $173 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | $133 | $108 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $160 | $122 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0101272213 | VA |
| Internal Medicine Physician | 207R00000X | 209711 | NC |
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.