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Provider profile

SCHMELKIN, IRA M.D.

Gastroenterology · NPI 1699746602 · WESTFIELD, MA

2
Groups
16
Codes · 2024
1,181
Disclosed services

SCHMELKIN, IRA is a Gastroenterology in WESTFIELD, MA, a member of 2 medical groups, who billed 16 distinct codes to Medicare Part B in 2024.

Groups: BAYSTATE MEDICAL PRACTICES INC (SPRINGFIELD, MA) · BERKSHIRE FACULTY SERVICES INC (PITTSFIELD, MA) — member of 2 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

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

Provider overview · all codes · CY2024

1,181
disclosed services
16
codes billed to Medicare Part B
Prior year · CY2023 1,302 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
45380 Biopsy of large bowel using a flexible endoscope
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
91200 Measurement of liver stiffness
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
99443 Telephone medical discussion with physician, 21-30 minutes
45378 Diagnostic exam of large bowel using a flexible endoscope
99442 Telephone medical discussion with physician, 11-20 minutes
91110 Imaging of digestive tract done from the inside of the digestive tract

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.