CESAR FERNANDEZ, MD
Gastroenterology Physician · GADSDEN, AL
Individual Active NPI 1659363109
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 566 | 1,548 | $468,608 | $180,917 | $142,328 |
| 2023 | 605 | 1,588 | $491,288 | $177,620 | $137,510 |
| 2022 | 580 | 1,368 | $472,124 | $169,533 | $131,799 |
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 | 262 | $117 | $88 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 186 | $72 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 111 | $83 | $57 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 89 | $81 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 83 | $120 | $95 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 78 | $153 | $117 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 71 | $117 | $92 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | $160 | $128 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 64 | $82 | $63 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 54 | $76 | $59 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 44 | $221 | $177 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 37 | $164 | $164 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 17296 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Alabama
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.