JEROME GUANCIALE, DO
Surgery Physician · WAHPETON, ND
Individual Active NPI 1851355366
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 119 | 242 | $174,137 | $32,698 | $25,628 |
| 2023 | 92 | 184 | $122,769 | $26,528 | $20,893 |
| 2022 | 126 | 268 | $177,105 | $36,396 | $28,808 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 62 | $88 | $60 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 35 | $223 | $185 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $155 | $110 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 19 | $108 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $118 | $81 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $111 | $85 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $162 | $162 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 17750 | ND |
| Surgery Physician | 208600000X | 70737 | MN | |
| Surgery Physician | 208600000X | 0393 | SC | |
| Surgery Physician | 208600000X | DO2175 | NV |
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.