FRANK NEMEC, M.D.
Gastroenterology Physician · LAS VEGAS, NV
Individual Active NPI 1629045786
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 610 | 1,309 | $794,739 | $162,983 | $128,290 |
| 2023 | 671 | 1,423 | $888,809 | $191,365 | $152,307 |
| 2022 | 650 | 1,372 | $860,623 | $188,490 | $150,297 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 338 | $87 | $66 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 324 | $122 | $91 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 124 | $83 | $66 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 103 | $159 | $113 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 86 | $239 | $198 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 62 | $140 | $113 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 53 | $109 | $76 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 48 | $173 | $173 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 44 | $175 | $175 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 43 | $162 | $130 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 33 | $127 | $101 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $93 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 5000 | NV |
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.