MARK GLOUDEMAN, M.D.
Surgery Physician · CULPEPER, VA
Individual Active NPI 1750306825
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 366 | 587 | $434,543 | $87,457 | $69,279 |
| 2023 | 404 | 734 | $562,434 | $119,304 | $95,611 |
| 2022 | 408 | 740 | $601,390 | $124,264 | $97,744 |
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 | 85 | $240 | $184 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 61 | $135 | $105 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $174 | $174 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 39 | $91 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | $90 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 38 | $61 | $45 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | $125 | $100 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $78 | $60 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $134 | $102 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 23 | $175 | $121 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $128 | $88 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | $47 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 0101043825 | VA |
| Specialist | 174400000X | 0101043825 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Virginia
- NPI 1508209057
- NPI 1063685352
- NPI 1760687727
- NPI 1871555995
- NPI 1003107970
- NPI 1952906513
- NPI 1003020264
- NPI 1720114846
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.