SETH WHEELER, MD
Gastroenterology Physician · TWIN FALLS, ID
Individual Active NPI 1548222516
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 398 | 712 | $302,820 | $83,777 | $67,855 |
| 2023 | 555 | 1,020 | $385,612 | $122,536 | $99,741 |
| 2022 | 488 | 879 | $298,502 | $102,348 | $80,130 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 167 | $114 | $94 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 113 | $65 | $51 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 99 | $220 | $184 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 46 | $110 | $88 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 35 | $90 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 | $61 | $48 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 19 | $166 | $131 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | $116 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | $68 | $47 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | $165 | $165 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | $43 | $27 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 14 | $165 | $165 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | M9629 | ID |
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.