MICHAEL O'DONNELL, M.D.
Gastroenterology Physician · NEWTON, MA
Individual Active NPI 1609223676
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 477 | 2,536 | $917,593 | $155,407 | $123,031 |
| 2023 | 403 | 703 | $857,565 | $110,268 | $88,274 |
| 2022 | 19 | 29 | $43,643 | $4,854 | $3,868 |
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 | 117 | $260 | $212 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 99 | $118 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 91 | $181 | $129 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 71 | $127 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 71 | $140 | $105 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 64 | $136 | $108 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $176 | $144 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 21 | $187 | $187 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | $82 | $66 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $192 | $192 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $111 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 291965 | MA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 297811 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.