Dr. Herbert Wolfsen, MD

NPI: 1851380737
Total Payments
$5,975
2022 Payments
$78.65
Companies
4
Transactions
10
Medicare Patients
2,217
Medicare Billing
$243,647

Payment Breakdown by Category

Other$3,500 (58.6%)
Travel$2,201 (36.8%)
Food & Beverage$273.90 (4.6%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $3,500 1 58.6%
Travel and Lodging $2,201 4 36.8%
Food and Beverage $273.90 5 4.6%

Top Paying Companies

Company Total Records Latest Year
Pinnacle Biologics, Inc $5,024 5 $0 (2017)
NinePoint Medical, Inc. $829.87 2 $0 (2017)
Johnson & Johnson Health Care Systems Inc. $99.21 2 $0 (2022)
Medtronic, Inc. $22.41 1 $0 (2022)

Payment History by Year

Year Amount Transactions Top Company
2022 $78.65 2 Johnson & Johnson Health Care Systems Inc. ($56.24)
2019 $42.97 1 Johnson & Johnson Health Care Systems Inc. ($42.97)
2017 $5,854 7 Pinnacle Biologics, Inc ($5,024)

All Payment Transactions

10 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
09/09/2022 Johnson & Johnson Health Care Systems Inc. STELARA (Biological) Food and Beverage In-kind items and services $56.24 General
Category: Immunology
08/15/2022 Medtronic, Inc. BARRX (Device) Food and Beverage In-kind items and services $22.41 General
Category: Ablation
03/01/2019 Johnson & Johnson Health Care Systems Inc. STELARA (Biological) Food and Beverage In-kind items and services $42.97 General
Category: Immunology
09/01/2017 Pinnacle Biologics, Inc Photofrin (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $3,500.00 General
Category: Oncology
09/01/2017 Pinnacle Biologics, Inc Photofrin (Drug) Travel and Lodging Cash or cash equivalent $1,212.38 General
Category: Oncology
09/01/2017 Pinnacle Biologics, Inc Photofrin (Drug) Travel and Lodging Cash or cash equivalent $159.12 General
Category: Oncology
09/01/2017 Pinnacle Biologics, Inc Photofrin (Drug) Food and Beverage Cash or cash equivalent $79.15 General
Category: Oncology
09/01/2017 Pinnacle Biologics, Inc Photofrin (Drug) Food and Beverage Cash or cash equivalent $73.13 General
Category: Oncology
01/17/2017 NinePoint Medical, Inc. Nvision VLE (Device) Travel and Lodging Cash or cash equivalent $809.70 General
Category: Gastroenterology
01/17/2017 NinePoint Medical, Inc. Nvision VLE (Device) Travel and Lodging Cash or cash equivalent $20.17 General
Category: Gastroenterology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 10 401 420 $543,967 $44,322
2022 13 491 524 $657,971 $55,113
2021 16 688 751 $150,800 $75,986
2020 12 637 704 $121,676 $68,226
Total Patients
2,217
Total Services
2,399
Medicare Billing
$243,647
Procedure Codes
51

All Medicare Procedures & Services

51 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2023 168 173 $199,864 $12,490 6.2%
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare Facility 2023 49 49 $98,931 $10,114 10.2%
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope Facility 2023 48 55 $72,865 $6,156 8.4%
43270 Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2023 20 25 $70,032 $3,797 5.4%
43254 Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2023 12 13 $26,338 $2,627 10.0%
45380 Biopsy of large bowel using a flexible endoscope Facility 2023 23 23 $39,602 $2,419 6.1%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 25 25 $11,400 $2,161 19.0%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 28 28 $8,288 $1,799 21.7%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 14 14 $9,898 $1,737 17.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 14 15 $6,750 $1,021 15.1%
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2022 172 184 $211,152 $12,642 6.0%
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare Facility 2022 51 51 $101,960 $10,233 10.0%
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope Facility 2022 62 77 $101,664 $8,085 8.0%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 30 30 $21,210 $3,698 17.4%
43254 Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2022 14 16 $32,416 $3,541 10.9%
43270 Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2022 16 18 $48,842 $3,090 6.3%
G0105 Colorectal cancer screening; colonoscopy on individual at high risk Facility 2022 14 14 $26,474 $2,550 9.6%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 37 37 $10,952 $2,473 22.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 23 25 $11,250 $2,244 19.9%
45378 Diagnostic exam of large bowel using a flexible endoscope Facility 2022 15 15 $26,637 $2,083 7.8%
45380 Biopsy of large bowel using a flexible endoscope Facility 2022 24 24 $43,008 $2,046 4.8%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2022 21 21 $9,576 $1,479 15.4%
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope Facility 2022 12 12 $12,831 $949.95 7.4%
43239 Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope Facility 2021 238 255 $45,828 $17,494 38.2%
45385 Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare Facility 2021 65 66 $18,956 $13,586 71.7%

About Dr. Herbert Wolfsen, MD

Dr. Herbert Wolfsen, MD is a Gastroenterology healthcare provider based in Jacksonville, Florida. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/13/2005. The National Provider Identifier (NPI) number assigned to this provider is 1851380737.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Herbert Wolfsen, MD has received a total of $5,975 in payments from pharmaceutical and medical device companies, with $78.65 received in 2022. These payments were reported across 10 transactions from 4 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($3,500).

As a Medicare-enrolled provider, Wolfsen has provided services to 2,217 Medicare beneficiaries, totaling 2,399 services with total Medicare billing of $243,647. Data is available for 4 years (2020–2023), covering 51 distinct procedure/service records.

Practice Information

  • Specialty Gastroenterology
  • Location Jacksonville, FL
  • Active Since 10/13/2005
  • Last Updated 08/31/2020
  • Taxonomy Code 207RG0100X
  • Entity Type Individual
  • NPI Number 1851380737

Products in Payments

  • Photofrin (Drug) $5,024
  • Nvision VLE (Device) $829.87
  • STELARA (Biological) $99.21
  • BARRX (Device) $22.41

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.

Gastroenterology Doctors in Jacksonville