ALBERT CRIMALDI, MD
Gastroenterology Physician · MILFORD, MA
Individual Active NPI 1538262100
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 600 | 1,387 | $841,145 | $156,135 | $116,988 |
| 2023 | 673 | 1,648 | $990,550 | $191,754 | $146,443 |
| 2022 | 741 | 1,688 | $1,114,630 | $214,805 | $160,631 |
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 | 382 | $127 | $92 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 255 | $35 | $26 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 108 | $78 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 106 | $167 | $116 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 87 | $96 | $71 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 84 | $127 | $96 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 68 | $129 | $102 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 61 | $238 | $178 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 46 | $181 | $132 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $112 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $86 | $66 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $180 | $180 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 56036 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Massachusetts
- NPI 1053411082
- NPI 1962502997
- NPI 1376679761
- NPI 1922192251
- NPI 1790888360
- NPI 1477649507
- NPI 1699885798
- NPI 1205099546
See all Gastroenterology Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.