Gastroenterology Internal Medicine in Tyler Texas
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Dr. Richard Seidel JR. M.D. Overview
Dr. Richard Seidel JR. M.D. Dr. Seidel, Richard JR. M.D.is a male health care provider in Tyler with Gastroenterology Internal Medicine - Click to see all Gastroenterology Internal Medicine providers in Tyler and other nearby locations listed as their primary medical specialization.
His credentials are: M.D. (Doctor of Medicine)
Dr. Richard Seidel JR. M.D.'s primary practice location is listed as:
Dr. Richard Seidel Jr. M.d.
1720 South Beckham Ave
Tyler, TX 75701 - Directions available below (print and phone)
He graduated from University Of Maryland School Of Medicine in 1992 (around 32 years of experience).
They are listed as accepting telehealth appointments and patients.
He lists the following medical group affiliations: Christus Trinity Clinic, Christus Trinity Clinic, Christus Trinity Clinic, Christus Trinity Clinic, Christus Trinity Clinic, Christus Trinity Clinic, Christus Trinity Clinic. His hospital privileges include: Mother Frances Hospital, Christus Mother Frances Hospital- Winnsboro.
Dr. Richard Seidel JR. M.D. Office Address, Phone, and Fax
Dr. Seidel, Richard JR. M.D.
1720 SOUTH BECKHAM AVETYLER, TX 75701
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Phone and Fax:
903-595-5101
903-597-2314
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Insurance, Services, Charges
Forms of insurance accepted by Dr. Richard Seidel JR. M.D. include, but are not limited to:
- CHRISTUS Health Plan
- Humana
- Blue Cross Blue Shield
- Medicare
They are listed as accepting new patients.
Languages spoken by staff include: English, Spanish.
Costs billed to Medicare and Copays for Gastroenterology Internal Medicine patients in this zip code (not for, Dr. Richard Seidel JR. M.D. specifically) but for the zip code: 75701 in Tyler
Medicare New Patient Min Cost:$56.752
Medicare New Patient Max Cost:$172.600
Most Common Medicare New Patient Cost:$130.712
New Patient Min Copay:$14.188
Max New Patient MaxCopay:$43.150
New Patient Most Common Charge:$32.678
Established Medicare Patient Min Payment:$17.720
Established Medicare Patient Max Payment:$141.296
Established Medicare Patient Most Common Payment:$101.200
Min Copay for Established Copay:$4.430
Max Copay for Established Patient:$35.324
Most Common Established Patient Fee:$25.300
Medicare Referrals and Ordering:
Dr. Richard Seidel JR. M.D. can refer to Part B.Dr. Richard Seidel JR. M.D. can can order durable medical equipment.They can refer to HHAs (home health agencies).They can order power mobility devices.
Merit-based Incentive Payment System Results:
Dr. Richard Seidel JR. M.D.'s MIPS Scores:
PI Category Score: 100*
IA Category Score: 40*
Cost Category Score: *
Quality Category Score: 97.4926
Final MIPS Score without CPB:98.7463
MIPS Final Score: 100
Definitions for MIPS categories:
PI Category Score: Promoting Interoperability (PI) performance category score.*
IA_category score: Improvement Activities (IA) performance category score.*
Cost category score: Cost performance category score.*
Quality category score: Quality performance category score.
Payments, Travel, Education Received by Other Parties
Reporting entities (Reporting entities are applicable manufacturers or applicable GPOs) are required by Medicare & Medicaid Services (CMS) to report any payments made to covered recipients (typically physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives.
Payments Total: 79.03
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 788713477
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: Immunology
Name of Drug #1: STELARA
Open Associated Drug #1: 57894-060-03
Drug or Biological: Biological
Product Category #2: Immunology
Name Of Drug #2:: REMICADE
Associated Drug #2: 57894-030-01
Payments Total: 17.61
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 799944275
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Antibiotic
Name of Drug #1: Talicia
Open Associated Drug #1: 57841-1150-2
Payments Total: 11.72
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 799944273
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Opioid Antagonist
Name of Drug #1: Movantik
Open Associated Drug #1: 57841-1300-1
Drug or Biological: Drug
Product Category #2: Antibiotic
Name Of Drug #2:: Talicia
Associated Drug #2: 57841-1150-2
Payments Total: 12.91
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796001629
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: IMMUNOLOGY
Name of Drug #1: HUMIRA
Open Associated Drug #1: 0074-0554-02
Payments Total: 19.85
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796001625
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: GASTROENTEROLOGY
Name of Drug #1: LINZESS
Open Associated Drug #1: 0456-1201-30
Selection of Procedures and Services Provided:
Definitions
- Average Charge Submitted - The average amount submitted to Medicare for the service.
- Average Medicare Cost Allowed - The average amount allowable by Medicare.
- Average Medicare Payment - The average amount Medicare paid after deductible and coinsurance amounts were deducted.
The Physician Provider and Service dataset furnishes data regarding the usage, payments, and charges filed by the National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and service location.
The following are a selection of procedures and services billed to Medicare by Dr. Richard Seidel JR. M.D. in Tyler, TX. Please note this list does not include all procedures and/or services offered by the provider and is intended for informational purposes only. We recommend contacting your provider directly to inquire about any and all services, procedures, and expected costs.
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope
Average Charge Submitted
$249.00
Average Medicare Cost Allowed
$1,240.00
Average Medicare Payment
$194.00
Based on 198 Medicare Claims.
Biopsy Of The Esophagus, Stomach, And/or Upper Small Bowel Using An Endoscope
Average Charge Submitted
$108.00
Average Medicare Cost Allowed
$1,042.00
Average Medicare Payment
$83.00
Based on 154 Medicare Claims.
Dilation Of Esophagus
Average Charge Submitted
$40.00
Average Medicare Cost Allowed
$465.00
Average Medicare Payment
$30.00
Based on 84 Medicare Claims.
Diagnostic Examination Of Esophagus, Stomach, And/or Upper Small Bowel Using An Endoscope
Average Charge Submitted
$107.00
Average Medicare Cost Allowed
$841.00
Average Medicare Payment
$78.00
Based on 79 Medicare Claims.
Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes
Average Charge Submitted
$51.00
Average Medicare Cost Allowed
$163.00
Average Medicare Payment
$38.00
Based on 76 Medicare Claims.
Established Patient Office Or Other Outpatient, Visit Typically 25 Minutes
Average Charge Submitted
$78.00
Average Medicare Cost Allowed
$211.00
Average Medicare Payment
$55.00
Based on 55 Medicare Claims.
Biopsy Of Large Bowel Using An Endoscope
Average Charge Submitted
$135.00
Average Medicare Cost Allowed
$1,341.00
Average Medicare Payment
$105.00
Based on 47 Medicare Claims.
New Patient Office Or Other Outpatient Visit, Typically 45 Minutes
Average Charge Submitted
$128.00
Average Medicare Cost Allowed
$327.00
Average Medicare Payment
$94.00
Based on 46 Medicare Claims.
Colorectal Cancer Screening - Colonoscopy On Individual At High Risk
Average Charge Submitted
$185.00
Average Medicare Cost Allowed
$930.00
Average Medicare Payment
$185.00
Based on 40 Medicare Claims.
Ultrasound Examination Of Esophagus, Stomach And/or Upper Small Bowel Using An Endoscope
Average Charge Submitted
$200.00
Average Medicare Cost Allowed
$824.00
Average Medicare Payment
$161.00
Based on 37 Medicare Claims.
Physician Telephone Patient Service, 11-20 Minutes Of Medical Discussion
Average Charge Submitted
$51.00
Average Medicare Cost Allowed
$120.00
Average Medicare Payment
$39.00
Based on 36 Medicare Claims.
Removal Of Stone From Bile Or Pancreatic Duct Using An Endoscope
Average Charge Submitted
$195.00
Average Medicare Cost Allowed
$1,585.00
Average Medicare Payment
$150.00
Based on 32 Medicare Claims.
Colorectal Cancer Screening - Colonoscopy On Individual Not Meeting Criteria For High Risk
Average Charge Submitted
$188.00
Average Medicare Cost Allowed
$946.00
Average Medicare Payment
$188.00
Based on 31 Medicare Claims.
Diagnostic Examination Of Large Bowel Using An Endoscope
Average Charge Submitted
$179.00
Average Medicare Cost Allowed
$1,118.00
Average Medicare Payment
$135.00
Based on 27 Medicare Claims.
Subsequent Hospital Inpatient Care, Typically 25 Minutes Per Day
Average Charge Submitted
$72.00
Average Medicare Cost Allowed
$153.00
Average Medicare Payment
$57.00
Based on 27 Medicare Claims.
New Patient Office Or Other Outpatient Visit, Typically 30 Minutes
Average Charge Submitted
$75.00
Average Medicare Cost Allowed
$228.00
Average Medicare Payment
$54.00
Based on 25 Medicare Claims.
Incision Of Pancreatic Outlet Muscle Using An Endoscope
Average Charge Submitted
$35.00
Average Medicare Cost Allowed
$1,585.00
Average Medicare Payment
$28.00
Based on 20 Medicare Claims.
Ultrasound Guided Needle Aspiration Or Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using An Endoscope
Average Charge Submitted
$238.00
Average Medicare Cost Allowed
$913.00
Average Medicare Payment
$193.00
Based on 19 Medicare Claims.
Placement Of Stent Pancreatic Or Bile Duct Using An Endoscope
Average Charge Submitted
$407.00
Average Medicare Cost Allowed
$1,518.00
Average Medicare Payment
$317.00
Based on 16 Medicare Claims.
Measuring The Stiffness In The Liver Via Elastography
Average Charge Submitted
$14.00
Average Medicare Cost Allowed
$124.00
Average Medicare Payment
$11.00
Based on 14 Medicare Claims.
Source:
Department of Health and Human Services, Centers for Medicare & Medicaid Services.
Affiliations
Medical Groups:
Christus Trinity Clinic
18780 Interstate 20, Canton Tx 75103-3593
903-567-4841
Christus Trinity Clinic
800 E Dawson St, Tyler Tx 75701-2036
903-510-1186
Christus Trinity Clinic
620 S Fleishel Ave, Tyler Tx 75701-2041
903-510-8888
Christus Trinity Clinic
630 S Fleishel Ave, Tyler Tx 75701-2041
903-510-8888
Christus Trinity Clinic
910 E Houston St, Tyler Tx 75702-8364
Christus Trinity Clinic
910 E Houston St, Tyler Tx 75702-8366
Christus Trinity Clinic
3201 S Loop, Palestine Tx 75801-6901
903-723-2311
Hospitals:
Mother Frances Hospital
Christus Mother Frances Hospital- Winnsboro
Medicare, PQRS, Million Hearts, and EHR Participation
Medicare Participation:
Dr. Richard Seidel JR. M.D. participates and accepts the Medicare approved amount as full payment for services rendered.
+ They are or were a participant of the Medicare Electronic Health Record Incentive Program.
Education, Experience, and Training
Health Care Field:
Allopathic & Osteopathic Physicians
(Doctors, Physicians, and Surgeons)
Classification:
Internal Medicine
Specialization:
Gastroenterology
Education:
School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1992
Additional Information for Dr. Richard Seidel JR. M.D.
Full Name:
Dr. Seidel Richard Jr. M.d.
Provider Type:
Individual
Gender:
Male
Sole Proprietor:
No, they do not own the practice alone.
Definition:
Gastroenterology Internal Medicine:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder.
This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal...
View All Tyler Gastroenterology Internal Medicine providers and the full definition.
TX Gastroenterology Internal Medicine Listings
NPI:
Their NPI Number is: 1821001116
NPI Created on:
Aug 15, 2006
NPI Updated On:
Their NPI is listed as last being updated on:
Apr 21, 2017
PECOS ID:
Their PECOS (PAC) ID is 8325086861
Dr. Richard Seidel JR. M.D. PAC ID is their unique 10 digit code that helps process their Medicare claims.
PECOS Enrollment ID:
Their PECOS Enrollment ID is I20101021000149
This is a 15 character unique ID given to each PECOS enrollment application.
PECOS Provider Code:
Their PECOS specialty code is listed as 14-10
This code links to their primary specialty.
PECOS Primary Specialty:
Their PECOS Primary Specialty is listed as:
PRACTITIONER - GASTROENTEROLOGY
This is what PECOS has listed as the primary specialty for Dr. Richard Seidel JR. M.D.
NPI Profile Updates:
Question and answer time :)
Does Dr. Richard Seidel JR. M.D. do telehealth appointments?
Yes, they are listed as accepting telehealth appointments.
What is the phone number for Dr. Richard Seidel JR. M.D.?
Their Phone Number is: 903-595-5101
What does PECOS list as their specialty?
Dr. Richard Seidel JR. M.D. is listed as:
PRACTITIONER - GASTROENTEROLOGY
What are the credentials for Dr. Richard Seidel JR. M.D.?
Their credentials are: M.D. (Doctor of Medicine)
What is the NPI for Dr. Richard Seidel JR. M.D.?
Their NPI is: 1821001116
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