NEVVI Medicare utilization intelligence

← back

Provider profile

ELBAUM, PHILIP

Gastroenterology · NPI 1235484031 · WYOMISSING, PA

1
Groups
15
Codes · 2024
5,705
Disclosed services

ELBAUM, PHILIP is a Gastroenterology in WYOMISSING, PA, a member of 1 medical group, who billed 15 distinct codes to Medicare Part B in 2024.

Groups: REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (LANCASTER, PA)

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

Provider analytics (2024)

ELBAUM, PHILIP billed 561 disclosed services in CY2023 and 5,705 in CY2024.

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

The full figure is part of the market analytics platform — built, not launched yet. Notify me at launch →

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
J3380 Injection, vedolizumab, intravenous, 1 mg premiumpremium premiumpremium
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes premiumpremium premiumpremium
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope premiumpremium premiumpremium
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope premiumpremium premiumpremium
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes premiumpremium premiumpremium
G0105 Colorectal cancer screening; colonoscopy on individual at high risk premiumpremium premiumpremium
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes premiumpremium premiumpremium
45378 Diagnostic exam of large bowel using a flexible endoscope premiumpremium premiumpremium
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less premiumpremium premiumpremium
45380 Biopsy 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.