MICHAEL BUSCH, DO
Gastroenterology Physician · SENECA, SC
Individual Active NPI 1356622799
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 369 | 678 | $348,542 | $84,706 | $65,785 |
| 2023 | 406 | 802 | $442,309 | $103,914 | $80,755 |
| 2022 | 356 | 732 | $444,673 | $96,550 | $72,385 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 98 | $131 | $108 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 78 | $69 | $51 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $118 | $80 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 63 | $123 | $96 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | $74 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 42 | $85 | $59 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $157 | $104 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | $220 | $183 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 27 | $111 | $79 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | $162 | $129 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $106 | $77 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 17 | $78 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 40689 | SC |
| Internal Medicine Physician | 207R00000X | 40689 | SC | |
| Internal Medicine Physician | 207R00000X | 2735 | 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.