MARLA WOLFERT, M.D.
Gastroenterology Physician · SHEBOYGAN, WI
Individual Active NPI 1528232576
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 386 | 871 | $1,134,950 | $92,039 | $74,852 |
| 2023 | 326 | 805 | $911,031 | $76,813 | $61,772 |
| 2022 | 368 | 3,536 | $1,137,665 | $152,990 | $119,079 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 153 | $5 | $3 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 106 | $240 | $203 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 106 | $134 | $107 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 105 | $89 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 66 | $89 | $66 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 | $126 | $95 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 38 | $170 | $170 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | $9 | $9 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 23 | $175 | $175 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | $76 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | $122 | $99 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $169 | $130 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 62396-020 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.