THOMAS DUCKER, MD
Gastroenterology Physician · KERRVILLE, TX
Individual Active NPI 1295753887
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 767 | 1,609 | $1,046,279 | $198,965 | $146,843 |
| 2023 | 741 | 1,496 | $1,004,999 | $189,281 | $143,347 |
| 2022 | 653 | 1,405 | $894,662 | $171,929 | $129,749 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 636 | $87 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 248 | $239 | $169 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 160 | $77 | $51 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 145 | $94 | $71 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 118 | $125 | $93 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 83 | $174 | $174 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 40 | $107 | $74 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | $98 | $70 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 20 | $175 | $114 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 18 | $176 | $176 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 15 | $26 | $21 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | H9895 | TX |
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.