ARTHUR DECROSS, MD
Gastroenterology Physician · ROCHESTER, NY
Individual Active NPI 1851327647
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 138 | 302 | $123,864 | $27,026 | $21,483 |
| 2023 | 116 | 272 | $101,101 | $24,103 | $18,642 |
| 2022 | 139 | 334 | $247,356 | $29,845 | $23,322 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 69 | $5 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 47 | $93 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 27 | $61 | $45 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 27 | $146 | $119 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 26 | $80 | $64 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 23 | $242 | $203 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $108 | $79 |
| 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 | 12 | $5 | $4 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 178838 | NY |
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.