Active NPI 1144205501 Individual Practitioner Male Practitioner

Dr. Ralph Purcell Pearce , MD

Specialist • Shenandoah, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Pearce, MD is a registered healthcare professional specializing in Specialist in Shenandoah, TX. Practice services are available at 129 VISION PARK BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

129 Vision Park Blvd
# 307

Shenandoah, TX 773843023

Telephone 9363215440

Fax 9362713705

Associated Practice Facility / Clinic

🏢 Ralph P. Pearce Md, Pa Facility NPI 1174702617

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Shenandoah, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.3 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Shenandoah, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	294	161	$210.00	$66.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$312.00	$98.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	86	$443.43	$83.21
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	51	51	$804.08	$208.96
45378 Diagnostic exam of large bowel using a flexible endoscope	38	37	$644.08	$175.39
45380 Biopsy of large bowel using an endoscope	19	18	$765.28	$122.06
43249 Balloon dilation of esophagus using an endoscope	14	14	$490.00	$146.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$919.75	$253.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	567	267	$210.00	$71.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	194	194	$312.00	$103.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	145	134	$443.43	$74.04
45378 Diagnostic exam of large bowel using a flexible endoscope	84	84	$644.08	$181.77
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	65	65	$804.08	$194.22
45380 Biopsy of large bowel using an endoscope	48	48	$765.28	$158.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	27	$919.75	$255.07
43249 Balloon dilation of esophagus using an endoscope	25	19	$490.00	$136.56
46930 Destruction of internal anal hemorrhoids	16	16	$595.00	$72.45
43245 Dilation of stomach outlet using an endoscope	16	16	$555.00	$148.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	694	308	$210.00	$68.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	231	231	$311.10	$100.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	164	151	$442.95	$78.99
45378 Diagnostic exam of large bowel using a flexible endoscope	109	109	$642.50	$174.75
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	69	69	$803.61	$182.87
45380 Biopsy of large bowel using an endoscope	66	66	$764.72	$164.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	44	$917.40	$243.85
46930 Destruction of internal anal hemorrhoids	18	18	$586.11	$69.80
43249 Balloon dilation of esophagus using an endoscope	12	11	$490.00	$124.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$475.00	$141.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	756	319	$210.00	$75.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	224	223	$312.00	$110.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	211	186	$440.00	$88.28
45378 Diagnostic exam of large bowel using a flexible endoscope	121	118	$635.00	$195.35
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	91	91	$800.00	$213.77
45380 Biopsy of large bowel using an endoscope	53	53	$760.00	$183.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$905.00	$275.21
46930 Destruction of internal anal hemorrhoids	33	33	$595.00	$78.87
43249 Balloon dilation of esophagus using an endoscope	28	20	$490.00	$135.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$477.00	$168.88
43245 Dilation of stomach outlet using an endoscope	12	12	$555.00	$158.94

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX G4376

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

098185403 (TX)

Commercial Insurance / Payer ID Bcbs

00EQ60 (TX)

Commercial Insurance / Payer ID Railroad Medicare

100016534 (TX)