JOSE HERNANDEZ, M.D.
Gastroenterology Physician · MYRTLE BEACH, SC
Individual Active NPI 1578755773
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 672 | 1,237 | $674,034 | $178,247 | $139,219 |
| 2023 | 821 | 1,463 | $834,750 | $214,958 | $168,827 |
| 2022 | 787 | 1,449 | $826,013 | $211,453 | $163,275 |
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 | 235 | $121 | $85 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 224 | $234 | $192 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 150 | $96 | $77 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 134 | $158 | $109 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 97 | $92 | $76 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 77 | $123 | $96 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | $86 | $62 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 35 | $139 | $111 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $157 | $157 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | $75 | $60 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $106 | $81 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 26 | $166 | $130 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 81917 | SC |
| Gastroenterology Physician | 207RG0100X | 2018-02906 | NC | |
| Gastroenterology Physician | 207RG0100X | A102590 | CA | |
| Gastroenterology Physician | 207RG0100X | 41345 | AZ |
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.