Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $326.00 | 4 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| DAVOL INC. | $147.96 | 2 | $0 (2019) |
| Mallinckrodt LLC | $114.25 | 1 | $0 (2017) |
| Stryker Corporation | $63.79 | 1 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2019 | $81.29 | 2 | Stryker Corporation ($63.79) |
| 2017 | $244.71 | 2 | Davol Inc. ($130.46) |
All Payment Transactions
4 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/29/2019 | Stryker Corporation | 1588 HD 3 CHIP CAMERA (Device) | Food and Beverage | Cash or cash equivalent | $63.79 | General |
| Category: VISUALIZATION | ||||||
| 10/23/2019 | DAVOL INC. | PHASIX (Device) | Food and Beverage | In-kind items and services | $17.50 | General |
| Category: DAVOL | ||||||
| 03/22/2017 | Mallinckrodt LLC | OFIRMEV (Drug) | Food and Beverage | In-kind items and services | $114.25 | General |
| Category: ACUTE CARE | ||||||
| 03/16/2017 | Davol Inc. | DAV-Phasix (Device) | Food and Beverage | Cash or cash equivalent | $130.46 | General |
| Category: Surgical | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 565 | 580 | $162,375 | $43,527 |
| 2022 | 13 | 653 | 669 | $157,113 | $46,378 |
| 2021 | 13 | 527 | 538 | $141,230 | $45,588 |
| 2020 | 11 | 368 | 378 | $76,893 | $24,617 |
All Medicare Procedures & Services
52 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2023 | 52 | 52 | $30,952 | $10,115 | 32.7% |
| 49505 | Repair of groin hernia (5 years or older) | Facility | 2023 | 14 | 14 | $22,279 | $5,612 | 25.2% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 43 | 43 | $21,671 | $4,213 | 19.4% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2023 | 20 | 20 | $7,853 | $3,407 | 43.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 68 | 68 | $12,779 | $3,329 | 26.1% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2023 | 21 | 21 | $7,775 | $3,283 | 42.2% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 51 | 51 | $17,254 | $2,996 | 17.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 40 | 45 | $9,395 | $2,860 | 30.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 32 | 36 | $5,130 | $1,738 | 33.9% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 60 | 60 | $6,738 | $1,731 | 25.7% |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | Facility | 2023 | 14 | 15 | $6,401 | $1,680 | 26.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 17 | 17 | $4,999 | $1,392 | 27.8% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 24 | 28 | $2,170 | $669.75 | 30.9% |
| 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 | Facility | 2023 | 97 | 98 | $980.00 | $350.92 | 35.8% |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | Facility | 2023 | 12 | 12 | $5,999 | $149.70 | 2.5% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 65 | 67 | $40,199 | $12,209 | 30.4% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 54 | 54 | $26,838 | $5,476 | 20.4% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 32 | 32 | $12,384 | $5,434 | 43.9% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 24 | 24 | $8,520 | $4,060 | 47.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 48 | 57 | $10,127 | $3,658 | 36.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 59 | 59 | $10,452 | $3,200 | 30.6% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 56 | 56 | $17,920 | $3,006 | 16.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 31 | 31 | $8,440 | $2,699 | 32.0% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2022 | 84 | 84 | $9,536 | $2,406 | 25.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 40 | 44 | $5,234 | $1,995 | 38.1% |
About Dr. Dwaine Tesnohlidek, MD
Dr. Dwaine Tesnohlidek, MD is a Surgery healthcare provider based in Ontario, Oregon. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/27/2006. The National Provider Identifier (NPI) number assigned to this provider is 1437240009.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Dwaine Tesnohlidek, MD has received a total of $326.00 in payments from pharmaceutical and medical device companies, with $81.29 received in 2019. These payments were reported across 4 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($326.00).
As a Medicare-enrolled provider, Tesnohlidek has provided services to 2,113 Medicare beneficiaries, totaling 2,165 services with total Medicare billing of $160,110. Data is available for 4 years (2020–2023), covering 52 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Other Specialties Surgery
- Location Ontario, OR
- Active Since 09/27/2006
- Last Updated 04/18/2025
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1437240009
Products in Payments
- DAV-Phasix (Device) $130.46
- OFIRMEV (Drug) $114.25
- 1588 HD 3 CHIP CAMERA (Device) $63.79
- PHASIX (Device) $17.50
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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