EDGAR BIGORNIA, M.D.
Gastroenterology Physician · TOMS RIVER, NJ
Individual Active NPI 1639116973
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 614 | 1,673 | $1,091,395 | $184,861 | $141,606 |
| 2023 | 600 | 1,307 | $950,219 | $171,867 | $132,757 |
| 2022 | 655 | 1,437 | $836,973 | $165,810 | $126,866 |
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 | 315 | $132 | $95 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 257 | $17 | $14 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 204 | $82 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 124 | $104 | $83 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 111 | $174 | $115 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 103 | $240 | $199 |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 101 | $111 | $87 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 80 | $95 | $69 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 73 | $134 | $103 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 59 | $71 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 36 | $119 | $85 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 24 | $123 | $98 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25MA06983100 | NJ |
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.