Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 227 | 227 | $527,258 | $37,833 |
| 2022 | 6 | 300 | 300 | $499,094 | $28,869 |
| 2021 | 12 | 550 | 565 | $1.2M | $46,738 |
| 2020 | 14 | 635 | 660 | $1.2M | $54,530 |
All Medicare Procedures & Services
39 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 | Office | 2023 | 131 | 131 | $357,618 | $26,133 | 7.3% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Office | 2023 | 46 | 46 | $102,474 | $7,801 | 7.6% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Office | 2023 | 18 | 18 | $37,919 | $2,965 | 7.8% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Office | 2023 | 14 | 14 | $25,221 | $860.10 | 3.4% |
| 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 | 18 | 18 | $4,026 | $73.79 | 1.8% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 67 | 67 | $219,813 | $12,919 | 5.9% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Office | 2022 | 35 | 35 | $96,250 | $6,644 | 6.9% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Office | 2022 | 17 | 17 | $36,414 | $2,945 | 8.1% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 11 | 11 | $18,898 | $1,928 | 10.2% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 12 | 12 | $20,913 | $1,919 | 9.2% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 28 | 28 | $50,952 | $1,346 | 2.6% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 12 | 12 | $31,020 | $711.49 | 2.3% |
| 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 | 118 | 118 | $24,834 | $457.29 | 1.8% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 86 | 86 | $342,280 | $14,864 | 4.3% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 119 | 122 | $291,953 | $6,479 | 2.2% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2021 | 27 | 27 | $72,630 | $4,448 | 6.1% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2021 | 23 | 23 | $61,870 | $4,089 | 6.6% |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | Facility | 2021 | 34 | 34 | $108,120 | $2,826 | 2.6% |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | Facility | 2021 | 23 | 23 | $57,730 | $2,582 | 4.5% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 35 | 41 | $12,095 | $2,421 | 20.0% |
| 45378 | Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk | Facility | 2021 | 18 | 18 | $51,300 | $2,347 | 4.6% |
| 43249 | Balloon dilation of esophagus, stomach and upper small bowel using a flexible endoscope | Facility | 2021 | 23 | 25 | $121,500 | $2,347 | 1.9% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2021 | 29 | 30 | $12,055 | $2,289 | 19.0% |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 18 | 18 | $36,900 | $1,556 | 4.2% |
| 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 | 2021 | 115 | 118 | $32,222 | $491.42 | 1.5% |
About Dr. Peter Stanko, MD
Dr. Peter Stanko, MD is a Gastroenterology healthcare provider based in Madison, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/11/2006. The National Provider Identifier (NPI) number assigned to this provider is 1912932823.
As a Medicare-enrolled provider, Stanko has provided services to 1,712 Medicare beneficiaries, totaling 1,752 services with total Medicare billing of $167,970. Data is available for 4 years (2020–2023), covering 39 distinct procedure/service records.
Practice Information
- Specialty Gastroenterology
- Location Madison, WI
- Active Since 07/11/2006
- Last Updated 08/29/2022
- Taxonomy Code 207RG0100X
- Entity Type Individual
- NPI Number 1912932823
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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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