CARL FOULKS, M.D.
Gastroenterology Physician · COLUMBIA, SC
Individual Active NPI 1902898562
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 580 | $433,092 | $76,388 | $57,809 |
| 2023 | 260 | 649 | $471,885 | $84,644 | $65,489 |
| 2022 | 184 | 410 | $288,166 | $56,319 | $44,085 |
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 | 73 | $82 | $59 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | $88 | $70 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 58 | $236 | $196 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | $123 | $102 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 50 | $103 | $66 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $155 | $98 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 34 | $118 | $84 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | $123 | $95 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 18 | $78 | $52 |
| 43450 | Dilation of esophagus | 16 | $39 | $25 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | $75 | $60 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 13 | $171 | $137 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 9900221 | NC |
| Gastroenterology Physician | 207RG0100X | 93611 | SC |
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.