DEREK HOLCOMBE, M.D.
Gastroenterology Physician · ALEXANDER CITY, AL
Individual Active NPI 1841203833
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 647 | 1,729 | $500,712 | $279,137 | $216,436 |
| 2023 | 624 | 1,839 | $529,710 | $227,144 | $175,233 |
| 2022 | 660 | 1,751 | $463,545 | $213,527 | $163,167 |
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 | 412 | $116 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 299 | $82 | $57 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 109 | $153 | $119 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 82 | $238 | $184 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 81 | $100 | $73 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 79 | $466 | $363 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 62 | $76 | $60 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 52 | $364 | $268 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 50 | $113 | $91 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $59 | $47 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 37 | $240 | $188 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 36 | $221 | $175 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 14800 | AL |
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.