ALBERT ROSS, MD
Gastroenterology Physician · EAST LANSING, MI
Individual Active NPI 1568411510
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 332 | 2,903 | $332,760 | $131,700 | $103,561 |
| 2023 | 373 | 4,301 | $400,151 | $169,115 | $134,469 |
| 2022 | 362 | 5,681 | $415,134 | $199,464 | $155,981 |
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 | 74 | $238 | $195 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | $82 | $62 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 35 | $241 | $195 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | $109 | $89 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 24 | $138 | $104 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $86 | $59 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $80 | $54 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | $124 | $91 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 22 | $150 | $105 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $93 | $70 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $117 | $87 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | $47 | $37 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | AR066044 | MI |
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.