MARK REAL, M.D.
Gastroenterology Physician · CLINTON, MD
Individual Active NPI 1316332430
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 604 | 1,051 | $625,105 | $153,661 | $119,080 |
| 2023 | 656 | 1,096 | $602,156 | $167,427 | $131,491 |
| 2022 | 177 | 279 | $147,100 | $45,760 | $36,282 |
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 | 154 | $116 | $84 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 109 | $96 | $69 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 102 | $138 | $105 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 92 | $133 | $110 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 91 | $73 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 77 | $172 | $125 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 50 | $134 | $97 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 47 | $235 | $196 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 38 | $79 | $62 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $220 | $170 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 36 | $24 | $19 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 19 | $365 | $293 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | D93538 | MD |
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.