MICHAEL SPENCER, MD
Colon & Rectal Surgery Physician · EDINA, MN
Individual Active NPI 1386653947
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 212 | 535 | $325,527 | $56,204 | $44,878 |
| 2023 | 224 | 421 | $394,869 | $85,597 | $67,083 |
| 2022 | 224 | 401 | $372,965 | $85,538 | $67,243 |
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 | 61 | $119 | $87 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 28 | $104 | $76 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 28 | $175 | $147 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 | $85 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 20 | $226 | $188 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 18 | $162 | $162 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 14 | $169 | $132 |
| 46600 | Diagnostic exam of anus using an endoscope | 13 | $112 | $89 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 13 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 30322 | MN |
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.