GAIL HERZIG, MD
Gastroenterology Physician · ACTON, MA
Individual Active NPI 1689608440
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 331 | 9,601 | $657,938 | $281,038 | $225,282 |
| 2023 | 312 | 8,843 | $672,819 | $265,965 | $212,337 |
| 2022 | 352 | 8,033 | $658,862 | $255,871 | $202,851 |
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 | 80 | $98 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 60 | $139 | $109 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 60 | $82 | $65 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 59 | $181 | $181 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 53 | $141 | $112 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 50 | $164 | $136 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 37 | $264 | $223 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | $180 | $143 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 18 | $196 | $139 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | $52 | $41 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $136 | $108 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 80319 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Massachusetts
- NPI 1710299615
- NPI 1447248042
- NPI 1033475983
- NPI 1083882989
- NPI 1629500921
- NPI 1962400366
- NPI 1508926668
- NPI 1477552750
See all Gastroenterology Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.