GUSTAVO MACHICADO, MD
Gastroenterology Physician · NORTHRIDGE, CA
Individual Active NPI 1568434652
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 604 | 1,299 | $565,709 | $180,125 | $129,846 |
| 2023 | 689 | 1,485 | $625,260 | $219,563 | $161,562 |
| 2022 | 714 | 1,665 | $675,281 | $240,557 | $174,477 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 651 | $133 | $94 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 141 | $95 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 139 | $172 | $111 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 81 | $181 | $136 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 72 | $78 | $61 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 62 | $181 | $137 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | $129 | $98 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 35 | $249 | $188 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $95 | $64 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $121 | $95 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | G308630 | CA |
| Internal Medicine Physician | 207R00000X | G308630 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in California
- NPI 1275943128
- NPI 1134091465
- NPI 1376768747
- NPI 1174771034
- NPI 1891972758
- NPI 1396492252
- NPI 1962566950
- NPI 1851436687
See all Gastroenterology Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.