FRANK PROCACCINO, MD
Gastroenterology Physician · WOODBRIDGE, VA
Individual Active NPI 1477658193
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 364 | 647 | $404,413 | $89,592 | $68,876 |
| 2023 | 426 | 784 | $529,201 | $105,512 | $82,370 |
| 2022 | 553 | 1,654 | $641,707 | $141,826 | $108,847 |
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 | 236 | $100 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 143 | $141 | $105 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 73 | $160 | $135 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 47 | $119 | $80 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $114 | $90 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $270 | $228 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $177 | $120 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $197 | $197 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0101055818 | VA |
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.