DIANE SETTLES, MD
Gastroenterology Physician · ASHLAND, KY
Individual Active NPI 1356462154
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 630 | 1,406 | $492,766 | $149,149 | $115,802 |
| 2023 | 664 | 1,508 | $510,940 | $156,825 | $122,548 |
| 2022 | 654 | 1,611 | $573,992 | $166,255 | $127,673 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 243 | $80 | $61 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 168 | $62 | $43 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 144 | $211 | $168 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 | $91 | $65 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 101 | $73 | $59 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 90 | $122 | $95 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 88 | $108 | $85 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 | $125 | $84 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 57 | $116 | $86 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 43 | $46 | $37 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 36 | $165 | $117 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 27 | $164 | $164 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 46943 | KY |
| Internal Medicine Physician | 207R00000X | 01069664A | IN |
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.