CARL WALLACH, M.D.
Gastroenterology Physician · MORRISTOWN, NJ
Individual Active NPI 1962593947
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,104 | 2,123 | $3,090,296 | $294,590 | $234,210 |
| 2023 | 1,208 | 2,267 | $3,384,275 | $323,551 | $255,723 |
| 2022 | 1,051 | 2,281 | $3,142,825 | $309,150 | $239,601 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 344 | $143 | $104 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 279 | $63 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 247 | $101 | $74 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 227 | $113 | $91 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 183 | $187 | $153 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 122 | $101 | $75 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 120 | $196 | $196 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 91 | $186 | $129 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 89 | $274 | $231 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 87 | $194 | $154 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 83 | $198 | $198 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 83 | $125 | $84 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MA05476300 | NJ |
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.