CARRIE ROTHERMEL, MD
Gastroenterology Physician · BIRMINGHAM, AL
Individual Active NPI 1528454758
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 307 | 2,728 | $264,779 | $139,305 | $108,980 |
| 2023 | 266 | 3,326 | $249,691 | $133,363 | $106,589 |
| 2022 | 85 | 229 | $49,570 | $20,049 | $16,144 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 534 | $44 | $34 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 308 | $49 | $39 |
| 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 | 149 | $15 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 113 | $117 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 77 | $223 | $174 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 63 | $82 | $63 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | $88 | $70 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $150 | $109 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $101 | $66 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $106 | $86 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $165 | $165 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 15 | $124 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD.38228 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Alabama
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- NPI 1730862343
- NPI 1366406514
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.