ANDREW NELSON, M.D.
Gastroenterology Physician · BATON ROUGE, LA
Individual Active NPI 1558336164
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 440 | 7,535 | $789,740 | $205,006 | $161,529 |
| 2023 | 438 | 8,530 | $1,037,685 | $291,484 | $230,691 |
| 2022 | 490 | 8,164 | $1,068,764 | $289,886 | $227,689 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,140 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 185 | $117 | $83 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 118 | $232 | $192 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 85 | $58 | $46 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 72 | $72 | $58 |
| 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 | 54 | $44 | $35 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $150 | $107 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 44 | $96 | $79 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 32 | $107 | $82 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | $123 | $98 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 31 | $169 | $169 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 28 | $84 | $51 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 12177R | LA |
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.