MAX CAUDILL, M.D.
Gastroenterology Physician · FRANKLIN, TN
Individual Active NPI 1922196435
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 329 | 460 | $425,377 | $70,048 | $58,782 |
| 2023 | 446 | 627 | $622,462 | $95,764 | $81,287 |
| 2022 | 467 | 693 | $658,581 | $104,399 | $85,541 |
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 | 108 | $228 | $193 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 | $153 | $114 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 51 | $126 | $101 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 47 | $165 | $165 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 44 | $165 | $165 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 41 | $117 | $90 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 28 | $83 | $55 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $102 | $66 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $88 | $70 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 14 | $41 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD0000025521 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.