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Provider profile

SY, THEODORE MD

Gastroenterology · NPI 1003865627 · LAGUNA HILLS, CA

1
Groups
10
Codes · 2024
312
Disclosed services

SY, THEODORE is a Gastroenterology in LAGUNA HILLS, CA, a member of 1 medical group, who billed 10 distinct codes to Medicare Part B in 2024.

Groups: MEMORIALCARE MEDICAL FOUNDATION (LONG BEACH, CA)

Year: 2024 · 2023 · 2022 🔒 · 2021 🔒 · 2020 🔒

Provider overview · all codes · CY2024

312
disclosed services
10
codes billed to Medicare Part B
Prior year · CY2023 238 disclosed services

This provider's disclosed Medicare payments across all codes were in CY2024.

Dollars, place-of-service mix, business mix and national standing are part of the market analytics platform — built, not launched yet. Notify me at launch →

All figures are disclosed (CMS suppresses fewer-than-11-beneficiary rows) Medicare Part B fee-for-service — a subset, never complete totals; volumes are personal to this NPI, not attributed to any group. Standing is a billed-volume position among specialty peers with disclosed billing (national percentile; a provider's true standing can only be higher, never lower), not a statement about care. See Methods & Sources.

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
This provider's Medicare volumes — services, beneficiary-episodes, and charges — are part of the market analytics platform — built, not launched yet. Notify me at launch →
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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
36415 Insertion of needle into vein for collection of blood sample
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
45380 Biopsy of large bowel using a flexible endoscope
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.