FREDY NEHME, MD
Gastroenterology Physician · MUNCIE, IN
Individual Active NPI 1700269537
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 373 | 878 | $570,390 | $115,681 | $91,628 |
| 2023 | 430 | 885 | $545,158 | $117,895 | $91,979 |
| 2022 | 179 | 312 | $212,123 | $44,370 | $35,541 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 106 | $73 | $58 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 98 | $68 | $54 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 87 | $197 | $160 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 60 | $109 | $87 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 51 | $119 | $89 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 42 | $21 | $17 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $104 | $80 |
| 43238 | Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 34 | $177 | $138 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 32 | $92 | $72 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | $160 | $126 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $120 | $92 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 22 | $406 | $323 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01087799A | IN |
| Internal Medicine Physician | 207R00000X | 01087799A | IN | |
| Internal Medicine Physician | 207R00000X | 94-08699 | KS |
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.