ALBERT RHOTON, MD
Gastroenterology Physician · HIGH POINT, NC
Individual Active NPI 1801816475
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 134 | 242 | $117,665 | $26,066 | $21,090 |
| 2023 | 192 | 374 | $184,493 | $42,576 | $35,114 |
| 2022 | 212 | 379 | $200,432 | $48,262 | $38,677 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 34 | $104 | $86 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 30 | $75 | $60 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | $46 | $36 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $79 | $63 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 26 | $223 | $185 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 13 | $162 | $162 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 13 | $144 | $113 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 13 | $104 | $70 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 33120 | NC |
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.