Medicare Patients
3,381
Medicare Billing
$375,709
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 14 | 808 | 866 | $531,509 | $86,395 |
| 2022 | 14 | 851 | 910 | $537,900 | $98,546 |
| 2021 | 16 | 867 | 944 | $540,574 | $102,010 |
| 2020 | 14 | 855 | 900 | $477,451 | $88,758 |
Total Patients
3,381
Total Services
3,620
Medicare Billing
$375,709
Procedure Codes
58
All Medicare Procedures & Services
58 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 | 130 | 131 | $142,838 | $27,090 | 19.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 98 | 128 | $32,195 | $9,036 | 28.1% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 99 | 99 | $95,454 | $8,202 | 8.6% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2023 | 43 | 43 | $37,504 | $7,805 | 20.8% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 151 | 160 | $112,075 | $7,445 | 6.6% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2023 | 39 | 39 | $33,916 | $6,968 | 20.5% |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | Facility | 2023 | 56 | 62 | $25,675 | $5,670 | 22.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 72 | 82 | $14,378 | $3,924 | 27.3% |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | Facility | 2023 | 21 | 21 | $9,777 | $2,689 | 27.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 23 | 23 | $8,759 | $2,189 | 25.0% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 20 | 20 | $6,402 | $1,984 | 31.0% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 27 | 28 | $6,590 | $1,862 | 28.3% |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | Facility | 2023 | 17 | 18 | $2,970 | $854.39 | 28.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 12 | 12 | $2,976 | $675.70 | 22.7% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 128 | 130 | $140,140 | $26,480 | 18.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 102 | 126 | $31,500 | $12,490 | 39.7% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 106 | 107 | $102,078 | $11,206 | 11.0% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 41 | 41 | $35,424 | $7,473 | 21.1% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 144 | 149 | $103,555 | $7,024 | 6.8% |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | Facility | 2022 | 65 | 71 | $26,554 | $6,670 | 25.1% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 32 | 32 | $27,648 | $5,946 | 21.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 77 | 86 | $14,755 | $5,921 | 40.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 29 | 29 | $11,020 | $3,455 | 31.4% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 34 | 36 | $8,496 | $2,846 | 33.5% |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | Facility | 2022 | 16 | 20 | $9,220 | $2,576 | 27.9% |
About Dr. Rose Cesar, MD
Dr. Rose Cesar, MD is a Gastroenterology healthcare provider based in Greenfield, Massachusetts. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/07/2005. The National Provider Identifier (NPI) number assigned to this provider is 1952395766.
As a Medicare-enrolled provider, Cesar has provided services to 3,381 Medicare beneficiaries, totaling 3,620 services with total Medicare billing of $375,709. Data is available for 4 years (2020–2023), covering 58 distinct procedure/service records.
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Practice Information
- Specialty Gastroenterology
- Location Greenfield, MA
- Active Since 09/07/2005
- Last Updated 11/15/2016
- Taxonomy Code 207RG0100X
- Entity Type Individual
- NPI Number 1952395766
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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.