MARK FALVO, M.D.
Colon & Rectal Surgery Physician · WILLIAMSVILLE, NY
Individual Active NPI 1699966242
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 111 | 211 | $100,720 | $36,358 | $29,562 |
| 2023 | 117 | 231 | $116,478 | $49,437 | $39,791 |
| 2022 | 128 | 238 | $105,177 | $49,162 | $39,945 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 39 | $5 | $4 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 36 | $139 | $118 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 18 | $237 | $200 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $171 | $171 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 14 | $86 | $59 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $172 | $172 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $158 | $109 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 245495 | NY |
| Surgery Physician | 208600000X | 245495 | NY |
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.