CARL NORDSTROM, M.D.
Gastroenterology Physician · SANTA MONICA, CA
Individual Active NPI 1528298528
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 443 | 784 | $1,102,292 | $113,412 | $87,343 |
| 2023 | 421 | 704 | $938,413 | $107,823 | $84,398 |
| 2022 | 422 | 768 | $993,802 | $116,197 | $89,243 |
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 | 208 | $138 | $102 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 144 | $180 | $131 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 88 | $116 | $95 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 77 | $82 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 60 | $105 | $77 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | $179 | $143 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 50 | $261 | $215 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $195 | $143 |
| 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 | 20 | $17 | $14 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $116 | $93 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A116293 | CA |
| Internal Medicine Physician | 207R00000X | A116293 | CA |
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.