VINCENT GEMMA, M.D.
Surgery Physician · SHELBYVILLE, IN
Individual Active NPI 1790195303
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 168 | 328 | $169,647 | $48,529 | $38,514 |
| 2023 | 212 | 506 | $197,087 | $63,816 | $49,308 |
| 2022 | 192 | 475 | $184,889 | $59,454 | $44,770 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 48 | $61 | $42 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 35 | $226 | $178 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | $120 | $96 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | $73 | $58 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $108 | $89 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $84 | $62 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 18 | $32 | $23 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | $46 | $36 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 12 | $167 | $123 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $165 | $165 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 01082187A | IN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Indiana
- NPI 1891923652
- NPI 1164463949
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- NPI 1801995451
- NPI 1962806851
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- NPI 1083277180
- NPI 1134548563
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.