KEVIN DOUGLASS, M.D.
Gastroenterology Physician · SPARTANBURG, SC
Individual Active NPI 1487003943
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 467 | 877 | $724,018 | $110,412 | $86,429 |
| 2023 | 408 | 833 | $703,389 | $100,178 | $78,758 |
| 2022 | 199 | 363 | $277,055 | $44,992 | $36,055 |
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 | 169 | $87 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 93 | $118 | $84 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 86 | $236 | $195 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 79 | $107 | $73 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 51 | $91 | $69 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 46 | $48 | $38 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | $124 | $93 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 44 | $128 | $102 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $94 | $75 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 26 | $178 | $178 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $162 | $122 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | $76 | $61 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 39648 | 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.