SETH HOFFMAN, M.D.
Gastroenterology Physician · PICKERINGTON, OH
Individual Active NPI 1932140696
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 525 | $354,935 | $69,974 | $55,246 |
| 2023 | 388 | 535 | $392,461 | $76,601 | $60,619 |
| 2022 | 412 | 615 | $415,224 | $81,347 | $65,586 |
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 | 87 | $234 | $195 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 79 | $85 | $57 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 69 | $94 | $75 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 39 | $116 | $96 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $158 | $95 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 30 | $166 | $166 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 30 | $120 | $83 |
| 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 | 26 | $5 | $4 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | $123 | $98 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $96 | $76 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $129 | $91 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $105 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 35091098 | OH |
| Gastroenterology Physician | 207RG0100X | 01060818A | IN |
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.