HEATHER MCDOUGALL, MD
Gastroenterology Physician · SIOUX FALLS, SD
Individual Active NPI 1396840401
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 327 | $426,357 | $40,186 | $32,312 |
| 2023 | 213 | 379 | $443,513 | $47,698 | $37,957 |
| 2022 | 216 | 406 | $448,650 | $50,263 | $39,557 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 68 | $122 | $97 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 49 | $108 | $86 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $96 | $76 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $103 | $82 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $228 | $191 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 19 | $77 | $61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $74 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 8199 | SD |
| Internal Medicine Physician | 207R00000X | 47238 | 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.