MICHAEL BLANCO, M.D.
Gastroenterology Physician · FRANKLIN, TN
Individual Active NPI 1508284456
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 160 | 442 | $228,922 | $46,051 | $36,854 |
| 2023 | 134 | 383 | $231,054 | $37,937 | $27,676 |
| 2022 | 154 | 428 | $307,188 | $48,658 | $38,448 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 74 | $79 | $63 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | $73 | $58 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 46 | $104 | $81 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 43 | $45 | $36 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 30 | $214 | $173 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $153 | $119 |
| 43450 | Dilation of esophagus | 23 | $36 | $29 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $118 | $94 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 17 | $83 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 60754 | TN |
| Hospitalist Physician | 208M00000X | 60754 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.