NEVVI Medicare utilization intelligence

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Provider profile

GUSS, HOWARD D.O.

Gastroenterology · NPI 1831162403 · OCEAN, NJ

2
Groups
12
Codes · 2024
1,266
Disclosed services

GUSS, HOWARD is a Gastroenterology in OCEAN, NJ, a member of 2 medical groups, who billed 12 distinct codes to Medicare Part B in 2024.

Groups: OPTUM MEDICAL CARE OF NEW JERSEY PC (BAYONNE, NJ) · THE MEDICAL GROUP OF NEW JERSEY (HACKETTSTOWN, NJ) — 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

1,266
disclosed services
12
codes billed to Medicare Part B
Prior year · CY2023 1,189 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes premiumpremium premiumpremium
43239 Biopsy 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes premiumpremium premiumpremium
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more premiumpremium premiumpremium
45388 Destruction of polyp or growth of large bowel using a flexible endoscope premiumpremium premiumpremium
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more premiumpremium premiumpremium
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 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.