RICHARD CARUSO, MD
Gastroenterology Physician · LEWES, DE
Individual Active NPI 1548252265
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,046 | 1,341 | $623,130 | $223,485 | $192,602 |
| 2023 | 1,203 | 1,656 | $910,206 | $272,214 | $228,520 |
| 2022 | 1,231 | 1,767 | $1,009,736 | $302,693 | $249,373 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 389 | $103 | $82 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 333 | $244 | $204 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 250 | $175 | $175 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 92 | $171 | $171 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 75 | $160 | $131 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 50 | $88 | $60 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 44 | $176 | $140 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 23 | $126 | $88 |
| 43450 | Dilation of esophagus | 21 | $39 | $31 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 13 | $713 | $568 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $109 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | C1-0004112 | DE |
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.