DAVID KERSTETTER, M.D.
Gastroenterology Physician · ALTOONA, PA
Individual Active NPI 1619994076
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 403 | 5,369 | $691,815 | $188,870 | $151,174 |
| 2023 | 392 | 6,361 | $852,304 | $222,805 | $178,066 |
| 2022 | 493 | 4,868 | $894,506 | $221,143 | $173,798 |
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 | 142 | $251 | $211 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 112 | $83 | $65 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 84 | $96 | $78 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 36 | $136 | $104 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 35 | $109 | $70 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | $80 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | $132 | $107 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 29 | $50 | $41 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 27 | $164 | $118 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 | $90 | $57 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 24 | $180 | $180 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 12 | $129 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD439868 | PA |
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.