CLAIRE THERESE SOUTHERN, M.D.
Gastroenterology Physician · DANVILLE, PA
Individual Active NPI 1386991487
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 220 | 372 | $315,032 | $49,571 | $38,596 |
| 2023 | 274 | 458 | $474,504 | $62,850 | $47,664 |
| 2022 | 213 | 347 | $351,616 | $50,371 | $38,529 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 83 | $236 | $184 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 59 | $169 | $133 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 54 | $66 | $48 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | $107 | $82 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 36 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 29 | $122 | $95 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD455232 | PA |
| Internal Medicine Physician | 207R00000X | MT201252 | PA |
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.