ADAM SPIEGEL, D.O.
Gastroenterology Physician · WYOMISSING, PA
Individual Active NPI 1639317993
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 618 | 5,482 | $750,069 | $222,902 | $176,510 |
| 2023 | 591 | 5,286 | $697,599 | $218,190 | $173,885 |
| 2022 | 520 | 3,078 | $568,549 | $169,629 | $132,738 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 3,900 | $22 | $17 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 157 | $238 | $200 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | $120 | $82 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $86 | $60 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | $94 | $73 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 62 | $53 | $33 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 58 | $125 | $98 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | $75 | $60 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 36 | $47 | $38 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 34 | $166 | $166 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | $96 | $77 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 32 | $96 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | OS014741 | 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.