ANTONIO DECARLI, M.D.
Gastroenterology Physician · NEW SMYRNA BEACH, FL
Individual Active NPI 1376644328
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 520 | 908 | $1,097,517 | $133,053 | $109,002 |
| 2023 | 447 | 853 | $1,063,211 | $129,242 | $105,818 |
| 2022 | 575 | 1,279 | $1,141,530 | $169,942 | $131,254 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 186 | $72 | $58 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 169 | $247 | $207 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 93 | $173 | $142 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 73 | $127 | $100 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 57 | $118 | $94 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 52 | $116 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 50 | $88 | $66 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 46 | $109 | $87 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $179 | $179 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $164 | $124 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $125 | $94 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | $172 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 82935 | FL |
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.