CHERYL COX, M.D.
Gastroenterology Physician · SOUTH CHARLESTON, WV
Individual Active NPI 1316934961
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 253 | 390 | $232,986 | $45,773 | $35,901 |
| 2023 | 327 | 498 | $283,077 | $54,323 | $43,326 |
| 2022 | 369 | 563 | $350,750 | $65,875 | $50,701 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 56 | $106 | $85 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 49 | $239 | $194 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 39 | $181 | $135 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 38 | $34 | $20 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 33 | $64 | $46 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 32 | $81 | $65 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | $49 | $40 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | $139 | $108 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $117 | $94 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $92 | $75 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $130 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 18445 | WV |
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.