ANTHONY DEBENEDET, M.D.
Gastroenterology Physician · YPSILANTI, MI
Individual Active NPI 1538286687
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 388 | 1,502 | $309,274 | $111,306 | $88,789 |
| 2023 | 387 | 1,567 | $304,365 | $106,489 | $83,268 |
| 2022 | 409 | 1,903 | $314,414 | $126,077 | $98,561 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $240 | $201 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 60 | $130 | $102 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 45 | $109 | $83 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | $79 | $59 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | $97 | $77 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | $173 | $131 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $90 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 25 | $129 | $90 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 24 | $107 | $88 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 18 | $185 | $185 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $139 | $108 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 11 | $247 | $197 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 4301087860 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301087860 | MI | |
| Internal Medicine Physician | 207R00000X | 4301087860 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Michigan
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.