KAREN HABERTHIER, M.D.
Gastroenterology Physician · FLORENCE, KY
Individual Active NPI 1760681811
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 290 | 559 | $352,218 | $66,116 | $52,413 |
| 2023 | 258 | 535 | $193,808 | $62,185 | $49,987 |
| 2022 | 95 | 184 | $75,946 | $23,259 | $17,074 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | $74 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $116 | $79 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $70 | $53 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 62 | $122 | $97 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 56 | $231 | $192 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 53 | $84 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 46 | $155 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 35 | $81 | $63 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 20 | $109 | $87 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $169 | $169 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | $170 | $170 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 57576 | KY |
| Gastroenterology Physician | 207RG0100X | 35.093332 | OH | |
| Gastroenterology Physician | 207RG0100X | MT188071 | PA |
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.