MARK EDGE, MD
Gastroenterology Physician · STOCKBRIDGE, GA
Individual Active NPI 1750372777
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 475 | 1,721 | $474,738 | $127,881 | $99,779 |
| 2023 | 449 | 2,802 | $498,445 | $149,360 | $114,905 |
| 2022 | 478 | 4,570 | $624,870 | $206,186 | $160,101 |
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 | 175 | $125 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 139 | $89 | $62 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | $77 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 91 | $247 | $207 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 77 | $86 | $69 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 62 | $165 | $121 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | $128 | $100 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 41 | $108 | $69 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $124 | $100 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 21 | $175 | $175 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 19 | $179 | $179 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 18 | $133 | $106 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 48041 | 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.