Medicare spending analysis for Colorectal Surgery (Proctology) providers
Colorectal Surgery (Proctology) accounts for $485.0M in Medicare payments across 11.8K providers.
The specialty's average markup of 4.0x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2016 | $64.9M | 634.8K | 1.4K | — |
| 2017 | $63.3M | 638.9K | 1.4K | -2.5% |
| 2018 | $61.6M | 625.3K | 1.5K | -2.7% |
| 2019 | $64.0M | 629.1K | 1.5K | +4.0% |
| 2020 | $49.7M | 492.5K | 1.5K | -22.3% |
| 2021 | $61.8M | 549.9K | 1.5K | +24.2% |
| 2022 | $59.1M | 533.5K | 1.5K | -4.4% |
| 2023 | $60.7M | 542.3K | 1.6K | +2.8% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Phillip Fleshner | CA | $880.5K | 5.4K | $161.63 |
| 2 | Gregg Shore | FL | $791.2K | 2.3K | $344.76 |
| 3 | Victor Gallo | NY | $611.9K | 1.9K | $322.38 |
| 4 | Michael Gallo | NY | $586.7K | 1.4K | $413.48 |
| 5 | Sankar Adusumilli | NC | $439.9K | 1.1K | $403.98 |
| 6 | Jules Garbus | NY | $371.7K | 1.9K | $192.98 |
| 7 | Jeffrey Freed | NY | $363.7K | 976 | $372.67 |
| 8 | Lowell Meyerson | PA | $329.1K | 1.3K | $253.97 |
| 9 | Beth Moore | CA | $316.0K | 2.3K | $135.43 |
| 10 | Eli Shemesh | FL | $274.1K | 2.3K | $119.11 |
| 11 | Robert Theobald | FL | $262.1K | 1.4K | $193.41 |
| 12 | David Rivadeneira | NY | $250.7K | 1.1K | $218.77 |
| 13 | Zuri Murrell | CA | $248.7K | 1.5K | $167.94 |
| 14 | Joseph Nejman | PA | $239.8K | 1.6K | $146.25 |
| 15 | Sushil Pandey | AZ | $211.6K | 1.8K | $115.31 |
| 16 | Daniel Ng | CA | $211.6K | 1.9K | $108.89 |
| 17 | Richard Stockwell | ME | $209.5K | 1.5K | $138.58 |
| 18 | Dean Pappas | NY | $208.2K | 1.5K | $137.69 |
| 19 | Bradley Bute | NY | $205.4K | 902 | $227.69 |
| 20 | Mark Dobriner | NY | $197.9K | 1.0K | $194.19 |
| 21 | Thomas Lake | NJ | $196.7K | 1.1K | $183.11 |
| 22 | Alex Ky-Miyasaka | NY | $196.2K | 1.1K | $171.20 |
| 23 | Steven Fassler | PA | $179.9K | 1.2K | $148.83 |
| 24 | Hayder Al-Azzawi | FL | $169.2K | 1.3K | $130.73 |
| 25 | Karukurichi Venkatesh | AZ | $169.1K | 1.4K | $118.66 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $5.5M | 84.7K | $64.67 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $4.7M | 39.2K | $118.64 |
| 46600 | Diagnostic exam of anus using an endoscope | $4.4M | 51.4K | $86.49 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $4.3M | 47.1K | $92.21 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $4.3M | 21.8K | $199.13 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $3.7M | 46.7K | $78.38 |
| 46221 | Removal of external hemorrhoids by rubber banding | $3.6M | 16.2K | $222.25 |
| 45380 | Biopsy of large bowel using a flexible endoscope | $2.7M | 23.0K | $115.38 |
| 46500 | Injection of hemorrhoid | $2.6M | 9.6K | $270.19 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | $2.2M | 11.9K | $185.57 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | $1.8M | 11.5K | $159.97 |
| 44207 | Partial removal of large bowel and reattachment to rectum using an endoscope | $1.7M | 1.2K | $1.4K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.4M | 22.8K | $63.34 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $1.2M | 9.6K | $129.61 |
| 45388 | Destruction of polyp or growth of large bowel using a flexible endoscope | $1.2M | 1.3K | $891.57 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $1.0M | 7.6K | $137.12 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $990.3K | 9.6K | $103.00 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $967.8K | 5.3K | $182.23 |
| 44205 | Partial removal of small and large bowel with attachment of small and large bowel using an endoscope | $938.3K | 915 | $1.0K |
| 45300 | Diagnostic exam of rectum and lower large bowel using an endoscope | $784.2K | 8.3K | $94.10 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.