CRAIG MARGULIES, MD
Gastroenterology Physician · PRINCETON, NJ
Individual Active NPI 1912005026
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 548 | 2,032 | $892,805 | $204,360 | $154,844 |
| 2023 | 470 | 1,650 | $802,457 | $175,768 | $134,599 |
| 2022 | 500 | 1,495 | $831,421 | $180,404 | $135,233 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 535 | $135 | $94 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 162 | $96 | $71 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 153 | $151 | $127 |
| 36415 | Insertion of needle into vein for collection of blood sample | 117 | $9 | $9 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 81 | $83 | $66 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 72 | $8 | $8 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 70 | $118 | $77 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 67 | $268 | $225 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | $124 | $98 |
| 80053 | Blood test, comprehensive group of blood chemicals | 64 | $10 | $10 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 62 | $183 | $146 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $174 | $121 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MA064092 | 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.