npidexNPI registry + Medicare data

GUSTAVO PLASENCIA, M.D.

Colon & Rectal Surgery Physician · MIAMI, FL

Individual Active NPI 1386723567

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024136294$185,898$84,090$66,274
2023143297$275,901$83,781$66,792
2022146293$253,088$79,950$63,487

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more39$179$125
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more28$185$128
46600Diagnostic exam of anus using an endoscope18$123$98
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare17$275$232
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more16$95$67
45380Biopsy of large bowel using a flexible endoscope16$130$110
45300Diagnostic exam of rectum and lower large bowel using an endoscope15$136$100
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more14$119$88
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery14$124$104
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk11$201$201

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Colon & Rectal Surgery Physician208C00000X✓ME0031262FL
Surgery Physician208600000XME0031262FL

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.