CHARLES NESMITH, M.D.
Gastroenterology Physician · MARIETTA, GA
Individual Active NPI 1720263809
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 564 | 6,016 | $831,363 | $249,116 | $198,751 |
| 2023 | 612 | 5,505 | $817,836 | $247,818 | $197,969 |
| 2022 | 627 | 8,227 | $963,495 | $319,171 | $250,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 193 | $124 | $86 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 169 | $93 | $73 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 143 | $132 | $110 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 143 | $246 | $206 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $89 | $62 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 61 | $110 | $70 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 28 | $179 | $179 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 26 | $179 | $179 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $165 | $131 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 17 | $141 | $113 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $180 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 054629 | GA |
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.