ELSA CANALES, M.D.
Gastroenterology Physician · LAREDO, TX
Individual Active NPI 1477618429
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 960 | 3,168 | $670,168 | $294,949 | $219,141 |
| 2023 | 1,139 | 4,096 | $779,346 | $367,072 | $275,138 |
| 2022 | 1,311 | 4,647 | $907,995 | $424,908 | $313,138 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 701 | $32 | $24 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 505 | $87 | $61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 275 | $76 | $60 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 273 | $80 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 251 | $121 | $83 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 227 | $66 | $53 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 195 | $161 | $98 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 127 | $240 | $198 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 120 | $90 | $69 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 92 | $167 | $125 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 88 | $126 | $96 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 61 | $5 | $4 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | L8636 | TX |
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.