MITCHELL LOCKE, MD
Gastroenterology Physician · LAKE SUCCESS, NY
Individual Active NPI 1518954726
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 573 | 3,734 | $2,543,376 | $373,820 | $288,756 |
| 2023 | 563 | 3,418 | $2,233,853 | $387,104 | $301,342 |
| 2022 | 562 | 3,413 | $2,161,208 | $386,366 | $298,552 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,081 | $145 | $105 |
| 36415 | Insertion of needle into vein for collection of blood sample | 978 | $9 | $9 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 420 | $18 | $13 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 297 | $17 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 212 | $104 | $76 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 178 | $148 | $148 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 117 | $359 | $264 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 101 | $457 | $378 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 54 | $192 | $144 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 53 | $119 | $93 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 34 | $318 | $244 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 30 | $206 | $142 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 199280 | NY |
| Internal Medicine Physician | 207R00000X | 199280 | NY |
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.