JOHN MICHEL, DO
Gastroenterology Physician · CAMP HILL, PA
Individual Active NPI 1902805971
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 478 | 9,097 | $795,255 | $345,357 | $269,940 |
| 2023 | 513 | 7,125 | $672,449 | $273,206 | $214,221 |
| 2022 | 584 | 7,925 | $749,468 | $315,792 | $245,142 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 805 | $45 | $36 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 456 | $59 | $46 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 269 | $121 | $87 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 134 | $77 | $55 |
| 87077 | Bacterial culture for aerobic isolates | 114 | $8 | $8 |
| 36415 | Insertion of needle into vein for collection of blood sample | 102 | $8 | $8 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 84 | $149 | $117 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 84 | $8 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 83 | $86 | $64 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 71 | $159 | $105 |
| 80053 | Blood test, comprehensive group of blood chemicals | 61 | $10 | $10 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 60 | $150 | $107 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | OS009651L | PA |
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.