CHARLES MCMAHON, M.D.
Gastroenterology Physician · KANSAS CITY, MO
Individual Active NPI 1861768053
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 448 | 25,644 | $1,151,694 | $403,035 | $321,290 |
| 2023 | 421 | 18,788 | $801,410 | $215,790 | $171,725 |
| 2022 | 403 | 4,800 | $566,513 | $117,377 | $93,496 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 178 | $110 | $90 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 141 | $239 | $199 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | $82 | $62 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 49 | $59 | $47 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 47 | $123 | $85 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 | $47 | $38 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 22 | $165 | $165 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $87 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | $120 | $96 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $165 | $165 |
| 43233 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more | 14 | $210 | $165 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $98 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2015013288 | MO |
| Internal Medicine Physician | 207R00000X | 2015013288 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Missouri
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- NPI 1679889281
- NPI 1659424810
- NPI 1811994239
- NPI 1295746543
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.