ALEXANDER LEE, M.D.
Gastroenterology Physician · MADISON, WI
Individual Active NPI 1811351042
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 375 | 790 | $1,815,185 | $80,240 | $64,072 |
| 2023 | 300 | 624 | $1,091,306 | $66,656 | $53,854 |
| 2022 | 80 | 152 | $287,634 | $16,246 | $12,889 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 160 | $229 | $190 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 153 | $5 | $4 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 68 | $77 | $56 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | $73 | $58 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 44 | $121 | $90 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 36 | $91 | $73 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | $9 | $9 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 29 | $116 | $82 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 28 | $46 | $35 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $85 | $62 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 17 | $120 | $90 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 | $104 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 68559-20 | WI |
| Internal Medicine Physician | 207R00000X | 68559 | WI |
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.