EDWARD BLOCK, M.D.
Gastroenterology Physician · MISSION VIEJO, CA
Individual Active NPI 1811973860
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 512 | 1,003 | $444,909 | $135,308 | $108,926 |
| 2023 | 529 | 1,154 | $845,787 | $142,774 | $113,625 |
| 2022 | 524 | 1,826 | $920,337 | $167,102 | $133,013 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 149 | $108 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 141 | $98 | $74 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 123 | $75 | $59 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 104 | $247 | $209 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 104 | $120 | $90 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 101 | $138 | $93 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 69 | $183 | $183 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $179 | $133 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 28 | $187 | $135 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 | $177 | $177 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 24 | $79 | $51 |
| 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 | 23 | $6 | $4 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | G45827 | CA |
| Specialist | 174400000X | G45827 | CA |
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.