Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 337 | 345 | $128,788 | $32,541 |
| 2022 | 11 | 289 | 296 | $86,540 | $22,180 |
| 2021 | 10 | 327 | 341 | $95,714 | $25,006 |
| 2020 | 9 | 306 | 309 | $108,665 | $19,839 |
All Medicare Procedures & Services
42 procedure records from CMS Medicare Utilization — Page 1 of 2
| 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 | 45 | 45 | $39,889 | $8,490 | 21.3% |
| 19301 | Partial removal of breast | Facility | 2023 | 14 | 15 | $27,780 | $7,383 | 26.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 53 | 53 | $10,335 | $4,202 | 40.7% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2023 | 14 | 14 | $7,420 | $2,412 | 32.5% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2023 | 12 | 12 | $6,360 | $2,070 | 32.5% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Facility | 2023 | 16 | 16 | $4,640 | $2,060 | 44.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 20 | 21 | $2,415 | $1,558 | 64.5% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 25 | 25 | $11,716 | $1,481 | 12.6% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 19 | 20 | $14,956 | $1,242 | 8.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 20 | 23 | $1,702 | $1,081 | 63.5% |
| 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 | 84 | 85 | $935.00 | $319.20 | 34.1% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2023 | 15 | 16 | $640.00 | $242.82 | 37.9% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 34 | 35 | $29,813 | $6,412 | 21.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 56 | 56 | $10,920 | $4,826 | 44.2% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 16 | 16 | $8,480 | $2,815 | 33.2% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 13 | 13 | $6,890 | $2,275 | 33.0% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 20 | 21 | $9,765 | $1,427 | 14.6% |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | Facility | 2022 | 13 | 13 | $7,762 | $1,320 | 17.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 16 | 17 | $1,775 | $870.63 | 49.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 16 | 18 | $1,268 | $870.17 | 68.6% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 11 | 11 | $7,969 | $555.47 | 7.0% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 11 | 11 | $963.00 | $508.60 | 52.8% |
| 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 | 2022 | 83 | 85 | $935.00 | $300.14 | 32.1% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 42 | 44 | $38,520 | $8,032 | 20.9% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Facility | 2021 | 55 | 55 | $10,935 | $4,293 | 39.3% |
About Dr. Frank Spokas, MD
Dr. Frank Spokas, 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 06/22/2005. The National Provider Identifier (NPI) number assigned to this provider is 1801892104.
As a Medicare-enrolled provider, Spokas has provided services to 1,259 Medicare beneficiaries, totaling 1,291 services with total Medicare billing of $99,565. Data is available for 4 years (2020–2023), covering 42 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Location Ontario, OR
- Active Since 06/22/2005
- Last Updated 12/09/2016
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1801892104
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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