MICHAEL MAINERO, M.D.
Gastroenterology Physician · WEST PATERSON, NJ
Individual Active NPI 1720090079
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 666 | 35,838 | $3,026,570 | $834,954 | $658,588 |
| 2023 | 668 | 25,366 | $2,043,707 | $643,189 | $502,736 |
| 2022 | 672 | 12,331 | $1,280,327 | $362,400 | $278,084 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 20,100 | $22 | $17 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 657 | $56 | $44 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 434 | $105 | $78 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 378 | $72 | $56 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 164 | $132 | $102 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 161 | $147 | $103 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 118 | $127 | $88 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 90 | $123 | $99 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 83 | $285 | $230 |
| J7050 | Infusion, normal saline solution, 250 cc | 72 | $1 | $1 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 63 | $76 | $60 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 33 | $206 | $206 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | NJ55027 | NJ |
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.