DAVID PINELES, M.D.
Gastroenterology Physician · WEST ORANGE, NJ
Individual Active NPI 1982081428
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 719 | 1,941 | $2,175,541 | $238,996 | $190,052 |
| 2023 | 608 | 1,759 | $1,884,652 | $208,580 | $164,271 |
| 2022 | 622 | 1,660 | $1,959,776 | $195,755 | $152,806 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 564 | $85 | $68 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 487 | $128 | $102 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 162 | $102 | $77 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 126 | $110 | $89 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 122 | $143 | $106 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 55 | $271 | $225 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 47 | $137 | $112 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 47 | $123 | $88 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 37 | $142 | $114 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 36 | $173 | $139 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $186 | $148 |
| 43246 | Insertion of stomach tube using a flexible endoscope | 31 | $216 | $173 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25MA10969900 | NJ |
| Internal Medicine Physician | 207R00000X | 25MA10969900 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.