Active NPI 1114988466 Individual Practitioner Male Practitioner

Dr. Horace Pei Lo , MD

Surgery • Berlin, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Horace Lo, MD is a certified Surgery practicing in Berlin, WI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Lo delivers high-quality medical care to the local community at 225 MEMORIAL DR STE 2000.

Dr. Lo is affiliated with Agnesian Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, established 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

225 Memorial Dr Ste 2000

Berlin, WI 549231243

Telephone 9203615340

Associated Practice Facility / Clinic

🏢 Rogers And Nelson Surgical Associates, S.c. Facility NPI 1437160330

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Berlin, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Berlin, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lo (30 Years) 30 Yrs

Berlin Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$3759.00	$150.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$169.00	$50.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$2529.00	$52.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$3796.00	$215.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$698.00	$205.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$2186.89	$67.76
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$3471.50	$159.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$347.73	$120.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$503.92	$157.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	38	$2014.00	$46.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$340.00	$122.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$505.00	$154.83
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	25	23	$3198.00	$123.88
43249 Balloon dilation of esophagus using an endoscope	18	16	$2085.00	$94.64
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$221.00	$86.19
45380 Biopsy of large bowel using an endoscope	12	12	$2529.00	$95.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$3198.00	$206.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$1863.30	$66.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$491.75	$158.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$333.41	$124.32
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	27	$2549.55	$135.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	14	$2524.30	$217.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$457.97	$173.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	27	$1790.99	$55.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$446.80	$140.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$334.58	$104.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$136.08	$43.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$605.11	$198.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$1727.08	$64.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	34	$411.63	$139.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$126.00	$43.05
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	27	27	$1973.67	$113.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$585.33	$196.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$2235.13	$215.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$469.77	$157.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	35	$394.00	$139.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$1651.00	$71.48
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	23	$1893.00	$163.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$449.00	$151.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$120.00	$41.90
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$288.00	$96.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$112.00	$37.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$560.00	$197.14
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$199.00	$69.95
76937 Ultrasonic guidance for blood vessel access	14	11	$80.00	$13.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$295.00	$103.59
93923 Complete ultrasound study of arm and leg arteries	11	11	$67.00	$21.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$1580.00	$67.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	29	$1802.00	$162.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$435.00	$154.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$286.00	$99.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$285.00	$97.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$2032.00	$248.88
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$1034.00	$249.65
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$269.00	$96.53

Medical Specialties & State Licenses

CMS Verified: 2023-06-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 39102-020

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1114988466 (WI)

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

608 W Brown St, Waupun, WI 539631702

Phone: 9203246800

Secondary Practice Locations

9515 Holy Cross Ln

Breese, IL 622303618

Phone: 6185268430

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Barry Rogers , MD

Surgery

NPI 1003893371

Doctor of Medicine (M.D.)

Dr. Darren Nelson , MD

Surgery

NPI 1588641856

Doctor of Medicine (M.D.)

Brian Resop

Nurse Anesthetist, Certified Registered

NPI 1790075299

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2014

Registered at 225 MEMORIAL DR STE 2000, BERLIN, WI 549231243 (Tel: 9203615340)

📍

Updated Business Mailing Address October 24, 2014

Registered at 225 MEMORIAL DR STE 2000, BERLIN, WI 549231243 (Tel: 9203615340)

👤

Provider Name / Credentials Updated October 24, 2014

Recorded as HORACE LO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Surgery (License #39102-020 in WI)

🟢

Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114988466

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2006

Last Update: June 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Memorial Dr Ste 2000

Berlin, WI 549231243

Phone: 9203615340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.