JEFFREY MICHALAK, DO
Gastroenterology Physician · DAKOTA DUNES, SD
Individual Active NPI 1962622431
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 753 | 1,296 | $923,038 | $160,583 | $130,911 |
| 2023 | 784 | 1,331 | $774,918 | $177,177 | $147,177 |
| 2022 | 816 | 1,440 | $744,725 | $183,591 | $146,868 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 282 | $91 | $72 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 227 | $87 | $63 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 214 | $145 | $119 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 153 | $224 | $185 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 107 | $158 | $158 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 52 | $15 | $12 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | $84 | $65 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 48 | $161 | $125 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 43 | $123 | $84 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 37 | $143 | $143 |
| 91010 | Study of esophagus to assess movement | 14 | $61 | $45 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 8388 | SD |
| Gastroenterology Physician | 207RG0100X | 933 | NE | |
| Gastroenterology Physician | 207RG0100X | DO-04307 | IA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.