DAVID FEFFERMAN, M.D.
Gastroenterology Physician · STONEHAM, MA
Individual Active NPI 1720015928
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 735 | 3,618 | $1,000,982 | $246,665 | $195,108 |
| 2023 | 717 | 1,306 | $932,756 | $189,954 | $152,688 |
| 2022 | 518 | 968 | $591,691 | $135,715 | $104,095 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 258 | $273 | $225 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $144 | $107 |
| 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 | 157 | $6 | $4 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 120 | $124 | $93 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 92 | $187 | $133 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 85 | $85 | $69 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 73 | $139 | $105 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 53 | $192 | $192 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 48 | $120 | $88 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | $128 | $97 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 29 | $202 | $142 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $99 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 223626 | MA |
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.