CLIFFORD APPEL, M.D.
Gastroenterology Physician · DANBURY, CT
Individual Active NPI 1366436065
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 223 | 398 | $224,004 | $60,820 | $44,468 |
| 2023 | 281 | 518 | $314,971 | $82,370 | $62,054 |
| 2022 | 296 | 566 | $302,026 | $87,198 | $65,136 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 147 | $137 | $97 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 61 | $116 | $83 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 39 | $269 | $199 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 39 | $98 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $118 | $81 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 23 | $180 | $127 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | $139 | $112 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 27415 | CT |
| Specialist | 174400000X | 27415 | CT |
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.