WALLACE COMBS, MD
Gastroenterology Physician · PALM COAST, FL
Individual Active NPI 1437257532
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 431 | 966 | $438,121 | $126,899 | $93,885 |
| 2023 | 515 | 1,097 | $500,765 | $147,968 | $110,445 |
| 2022 | 527 | 1,059 | $576,048 | $146,515 | $107,353 |
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 | 232 | $124 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 176 | $88 | $64 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 101 | $76 | $57 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 68 | $109 | $73 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 60 | $145 | $102 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 52 | $224 | $169 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $164 | $98 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 39 | $179 | $125 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 34 | $125 | $98 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 23 | $181 | $181 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $62 | $47 |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 15 | $326 | $265 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME55590 | FL |
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.