MICHAEL SHIM, M.D.
Gastroenterology Physician · OCEANSIDE, CA
Individual Active NPI 1851503353
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 342 | 676 | $435,040 | $102,204 | $77,135 |
| 2023 | 323 | 660 | $424,248 | $98,241 | $73,651 |
| 2022 | 277 | 617 | $367,618 | $89,205 | $65,046 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 118 | $254 | $212 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 89 | $94 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 86 | $175 | $115 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | $136 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 60 | $119 | $72 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | $64 | $52 |
| 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 | 43 | $5 | $4 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 | $98 | $63 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 17 | $192 | $146 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $167 | $130 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 16 | $172 | $139 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | $176 | $137 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A88942 | 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.