CARL MELE, MD
Gastroenterology Physician · WYOMISSING, PA
Individual Active NPI 1922072172
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 542 | 4,309 | $615,932 | $175,904 | $140,216 |
| 2023 | 580 | 5,101 | $688,700 | $208,461 | $165,334 |
| 2022 | 491 | 4,652 | $543,798 | $184,520 | $145,500 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 129 | $238 | $196 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 99 | $100 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 87 | $85 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | $122 | $87 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 51 | $171 | $171 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | $124 | $94 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | $74 | $59 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 29 | $53 | $38 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $98 | $75 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $105 | $84 |
| 43450 | Dilation of esophagus | 20 | $41 | $32 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 18 | $159 | $126 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD069261L | 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.