JAMES FRANK, M.D.
Gastroenterology Physician · WASHINGTON, DC
Individual Active NPI 1356326524
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 281 | 452 | $238,945 | $76,070 | $61,731 |
| 2023 | 299 | 472 | $263,107 | $80,336 | $63,516 |
| 2022 | 300 | 464 | $254,826 | $80,054 | $62,642 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 97 | $193 | $140 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | $103 | $80 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $148 | $103 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 45 | $290 | $246 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 40 | $113 | $92 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 40 | $213 | $213 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | $159 | $135 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 23 | $214 | $214 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 17 | $131 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD 13898 | 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.