DONALD BAILEY, MD
Gastroenterology Physician · NEWBURGH, IN
Individual Active NPI 1467486902
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 488 | 4,578 | $1,303,289 | $233,421 | $186,894 |
| 2023 | 613 | 6,899 | $1,847,033 | $288,844 | $232,813 |
| 2022 | 492 | 4,267 | $1,250,495 | $198,480 | $157,138 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 1,168 | $47 | $37 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 660 | $62 | $47 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 157 | $243 | $207 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 103 | $45 | $37 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 100 | $97 | $75 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 94 | $48 | $39 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $89 | $66 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 45 | $145 | $111 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 44 | $165 | $165 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | $107 | $85 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $101 | $83 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $125 | $75 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01052425 | IN |
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.