ROBERT HENIHAN, M.D.
Gastroenterology Physician · WILMINGTON, NC
Individual Active NPI 1912950403
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 630 | 21,022 | $2,167,144 | $619,756 | $495,866 |
| 2023 | 659 | 20,414 | $2,108,254 | $612,524 | $490,206 |
| 2022 | 684 | 19,795 | $2,144,931 | $625,943 | $499,207 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 211 | $101 | $82 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 196 | $226 | $189 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 134 | $77 | $61 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 120 | $116 | $92 |
| J7050 | Infusion, normal saline solution, 250 cc | 116 | $1 | $1 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 79 | $116 | $91 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 52 | $166 | $166 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 47 | $151 | $118 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 40 | $84 | $66 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 40 | $145 | $113 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 37 | $8 | $8 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | $73 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 9800901 | NC |
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.