ELISSA KAPLAN, M.D.
Gastroenterology Physician · NEWTON, MA
Individual Active NPI 1922083542
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 610 | 6,911 | $1,332,837 | $266,747 | $211,683 |
| 2023 | 463 | 2,464 | $876,483 | $148,240 | $120,594 |
| 2022 | 540 | 2,964 | $1,043,246 | $172,561 | $137,172 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 153 | $194 | $140 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 146 | $134 | $108 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 126 | $264 | $216 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 74 | $107 | $82 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 65 | $178 | $127 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 48 | $190 | $156 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | $136 | $109 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 33 | $6 | $4 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $102 | $82 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 24 | $300 | $241 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 19 | $192 | $192 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | $406 | $317 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 214021 | MA |
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.