JACQUELINE FORMAN

Gastroenterology Physician · MINEOLA, NY

Individual Active NPI 1780020560

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024245452$692,188$51,199$39,895
20235151,126$1,369,864$131,219$103,160
2022338696$1,239,070$92,944$72,403

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes127$87$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more63$102$70
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes52$93$74
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more33$65$50
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope28$113$91
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes25$146$116
45380Biopsy of large bowel using a flexible endoscope23$126$105
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare13$286$242
43246Insertion of stomach tube using a flexible endoscope13$230$183

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X287977NY

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.