STEPHEN PAUL, M.D.
Gastroenterology Physician · VALPARAISO, IN
Individual Active NPI 1821060286
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 969 | 1,818 | $1,168,169 | $212,038 | $158,941 |
| 2023 | 1,030 | 2,279 | $1,353,821 | $245,280 | $178,726 |
| 2022 | 1,017 | 2,339 | $1,292,350 | $240,129 | $175,861 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 491 | $118 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 210 | $84 | $58 |
| 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 | 173 | $5 | $4 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 171 | $231 | $182 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 167 | $101 | $82 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 110 | $100 | $71 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 110 | $156 | $98 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 64 | $104 | $67 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 61 | $162 | $162 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 48 | $101 | $83 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $168 | $168 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 29 | $161 | $107 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01038315 | IN |
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.