NEVVI Medicare utilization intelligence

← back

Provider profile

LUBA, DANIEL M.D.

Gastroenterology · NPI 1790786002 · GONZALES, CA

3
Groups
24
Codes · 2024
4,227
Disclosed services

LUBA, DANIEL is a Gastroenterology in GONZALES, CA, a member of 3 medical groups, who billed 24 distinct codes to Medicare Part B in 2024.

Groups: MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC (MONTEREY, CA) · SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM (GONZALES, CA) · SVMHS CLINICS (SALINAS, CA) — member of 3 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

4,227
disclosed services
24
codes billed to Medicare Part B
Prior year · CY2023 1,669 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
88305 Pathology examination of tissue using a microscope, intermediate complexity premiumpremium premiumpremium
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare premiumpremium premiumpremium
45380 Biopsy of large bowel using a flexible endoscope 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 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
88313 Special stained specimen slides to examine tissue including interpretation and report premiumpremium premiumpremium
88312 Special stained specimen slides to identify organisms including interpretation and report 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes premiumpremium premiumpremium
G0105 Colorectal cancer screening; colonoscopy on individual at high risk premiumpremium premiumpremium
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 premiumpremium premiumpremium
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more premiumpremium premiumpremium
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes premiumpremium premiumpremium
43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm premiumpremium premiumpremium
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk premiumpremium premiumpremium
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare premiumpremium premiumpremium
45378 Diagnostic exam of large bowel using a flexible endoscope premiumpremium premiumpremium
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope premiumpremium premiumpremium
88309 Pathology examination of tissue using a microscope, high complexity premiumpremium premiumpremium
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 premiumpremium premiumpremium
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes premiumpremium premiumpremium
78267 Nuclear medicine study to acquire exhaled breath samples premiumpremium premiumpremium
78268 Nuclear medicine study to assess exhaled breath samples 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.