CLAYTON SPICELAND, MD
Gastroenterology Physician · NASHVILLE, TN
Individual Active NPI 1427499078
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 365 | 742 | $331,885 | $96,213 | $74,294 |
| 2023 | 210 | 492 | $193,997 | $60,313 | $46,807 |
| 2022 | 225 | 532 | $218,861 | $68,279 | $50,881 |
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 | 192 | $119 | $87 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 111 | $228 | $188 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 95 | $155 | $108 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | $79 | $63 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 56 | $57 | $47 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | $74 | $59 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | $122 | $91 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 22 | $112 | $91 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | $162 | $130 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $101 | $77 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 | $103 | $71 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 59271 | TN |
| Internal Medicine Physician | 207R00000X | 59271 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.