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Provider profile

ALLEN, HERBERT M.D.

Gastroenterology · NPI 1033188487 · SOUTH HILL, VA

1
Groups
17
Codes · 2024
2,520
Disclosed services

ALLEN, HERBERT is a Gastroenterology in SOUTH HILL, VA, a member of 1 medical group, who billed 17 distinct codes to Medicare Part B in 2024.

Groups: RALEIGH MEDICAL GROUP PA (RALEIGH, NC)

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

Provider overview · all codes · CY2024

2,520
disclosed services
17
codes billed to Medicare Part B
Prior year · CY2023 724 disclosed services

This provider's disclosed Medicare payments across all codes were premium 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
J1745 Injection, infliximab, excludes biosimilar, 10 mg premiumpremium premiumpremium
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare premiumpremium premiumpremium
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope premiumpremium premiumpremium
96413 Administration of chemotherapy into vein, 1 hour or less premiumpremium premiumpremium
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
G0105 Colorectal cancer screening; colonoscopy on individual at high risk premiumpremium premiumpremium
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope premiumpremium premiumpremium
45380 Biopsy of large bowel using a flexible endoscope premiumpremium premiumpremium
43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm premiumpremium premiumpremium
45378 Diagnostic exam of large bowel using a flexible endoscope premiumpremium premiumpremium
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more premiumpremium premiumpremium

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.