CHARLES HUGHES, MD
Colon & Rectal Surgery Physician · SCRANTON, PA
Individual Active NPI 1902807282
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 177 | 365 | $175,263 | $53,551 | $41,559 |
| 2023 | 207 | 437 | $189,780 | $65,368 | $50,773 |
| 2022 | 248 | 505 | $245,333 | $83,611 | $64,446 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 81 | $108 | $83 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 52 | $48 | $38 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 44 | $237 | $186 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 41 | $101 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $87 | $67 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 22 | $80 | $64 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | MD048367L | PA |
| Surgery Physician | 208600000X | MD048367L | PA | |
| Surgery Physician | 208600000X | 25MA06215200 | NJ |
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.