CRAIG WOMELDORPH, DO
Gastroenterology Physician · FORT WORTH, TX
Individual Active NPI 1649274135
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 372 | 3,373 | $665,842 | $163,064 | $127,770 |
| 2023 | 328 | 1,613 | $476,408 | $114,429 | $89,210 |
| 2022 | 305 | 5,426 | $537,052 | $151,430 | $116,340 |
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 | 91 | $238 | $196 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 86 | $89 | $64 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $124 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 66 | $162 | $107 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 64 | $106 | $89 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 56 | $69 | $55 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 | $109 | $78 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 31 | $71 | $39 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | $91 | $74 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 21 | $167 | $167 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $239 | $190 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | $126 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 5101017580 | MI |
| Gastroenterology Physician | 207RG0100X | 156841 | MA | |
| Internal Medicine Physician | 207R00000X | 5101017580 | MI |
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.