DAVID WORTHAM, MD
Gastroenterology Physician · ANDERSON, SC
Individual Active NPI 1437101771
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,003 | 2,023 | $1,118,532 | $243,649 | $192,640 |
| 2023 | 1,125 | 2,415 | $1,331,561 | $280,079 | $222,616 |
| 2022 | 1,088 | 2,426 | $1,198,963 | $276,179 | $215,383 |
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 | 364 | $84 | $57 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 223 | $119 | $87 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 194 | $152 | $126 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 181 | $82 | $66 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 165 | $73 | $57 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 123 | $233 | $190 |
| 43450 | Dilation of esophagus | 106 | $37 | $30 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 93 | $166 | $138 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $155 | $105 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 68 | $74 | $59 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 53 | $162 | $162 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 47 | $170 | $170 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 17843 | SC |
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.