PAOLO PEGHINI, MD
Gastroenterology Physician · LEWES, DE
Individual Active NPI 1558379446
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 666 | $308,163 | $98,139 | $75,912 |
| 2023 | 696 | 1,126 | $565,585 | $168,848 | $133,501 |
| 2022 | 735 | 1,373 | $651,158 | $206,919 | $160,436 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 142 | $140 | $107 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 83 | $141 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 69 | $99 | $73 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 61 | $184 | $136 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 54 | $124 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 53 | $269 | $224 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | $116 | $90 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $200 | $153 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | $85 | $64 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $180 | $180 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | $117 | $98 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $110 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | C10005923 | 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.