MIGUEL LALAMA, MD
Gastroenterology Physician · OWENSBORO, KY
Individual Active NPI 1669793683
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 427 | 1,160 | $1,194,576 | $134,729 | $105,265 |
| 2023 | 497 | 1,374 | $1,402,256 | $168,617 | $130,886 |
| 2022 | 554 | 1,789 | $1,652,565 | $204,944 | $162,660 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 215 | $45 | $36 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 117 | $213 | $168 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 107 | $102 | $80 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 94 | $117 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 93 | $84 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 65 | $153 | $105 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 61 | $79 | $64 |
| 91035 | Monitoring and recording of esophageal function through a capsule attached to the esophagus wall | 28 | $75 | $60 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | $159 | $125 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 22 | $111 | $88 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $133 | $106 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | $74 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 51452 | KY |
| Internal Medicine Physician | 207R00000X | 51452 | KY |
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.