SCRIPPS HEALTH
PHYSICIAN ASSISTANT · LA JOLLA, CA · 1,431 providers · hospital-affiliated · (858) 455-9100
Provider volumes for 46221 — Removal of external hemorrhoids by rubber banding · CY2024
In CY2024, the group billed 1,144 distinct codes across 32 states to Medicare Part B — 5,422,557 attributed, disclosed services.
1,273 clinicians billed under the group: 859 physicians, 297 advanced-practice clinicians, and 117 other clinicians.
'Physician' follows Medicare's definition, which includes doctors of medicine, osteopathy, podiatry, optometry, dental medicine, and chiropractic. 'Advanced-practice clinicians' are nurse practitioners, physician assistants, and similar practitioners; 'other clinicians' covers psychologists, therapists, social workers, audiologists, and dietitians. Facility and supplier enrollments — laboratories, ambulance services, imaging suppliers, and the like — are not counted as clinicians here.
In CY2024, the group's attributed volume on 46221 was 200 services.
| NPI | Provider | Credentials | Type | City | St | 46221 services | Beneficiary-episodes | Avg Medicare payment |
|---|---|---|---|---|---|---|---|---|
| 1508002775 | Beiermeister, Keith | M.D. | Colorectal Surgery (Proctology) | La Jolla | CA | premium | premium | premium |
| 1629091145 | Worsey, Michael | MD | Colorectal Surgery (Proctology) | La Jolla | CA | premium | premium | premium |
| 1376897629 | Brookover, Robert | MD | Colorectal Surgery (Proctology) | La Jolla | CA | premium | premium | premium |
| 1346207289 | Takata, Mark | MD | General Surgery | La Jolla | CA | premium | premium | premium |
| 1518283662 | Lightner, Amy | MD | General Surgery | La Jolla | CA | premium | premium | premium |
Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.