DAVID PELLEGRIN, M.D.
Gastroenterology Physician · HOUMA, LA
Individual Active NPI 1679662936
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 716 | 1,503 | $601,023 | $172,412 | $132,562 |
| 2023 | 789 | 1,733 | $696,539 | $201,257 | $158,433 |
| 2022 | 849 | 1,842 | $711,638 | $221,939 | $173,921 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 404 | $83 | $57 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 154 | $161 | $127 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 153 | $102 | $74 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 138 | $21 | $12 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 119 | $97 | $75 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 78 | $169 | $169 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 72 | $233 | $169 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 64 | $145 | $106 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 63 | $162 | $117 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 61 | $98 | $75 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 51 | $171 | $171 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 17 | $166 | $132 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 18280 | LA |
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.