FRANK RUIZ, MD
Gastroenterology Physician · CLIFTON, NJ
Individual Active NPI 1417967019
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 228 | 696 | $338,227 | $71,968 | $54,263 |
| 2023 | 238 | 638 | $377,302 | $71,458 | $53,354 |
| 2022 | 208 | 610 | $325,909 | $68,367 | $50,863 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 215 | $99 | $71 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 131 | $52 | $41 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 83 | $68 | $54 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 41 | $126 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 39 | $140 | $94 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 36 | $122 | $82 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 33 | $195 | $145 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | $138 | $110 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 22 | $63 | $38 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $181 | $181 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | $268 | $221 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25MA6384100 | NJ |
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.