MATTHEW SETO, D.O.
Gastroenterology Physician · LAKEWOOD, CO
Individual Active NPI 1003163486
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 278 | 586 | $340,174 | $78,712 | $63,772 |
| 2023 | 240 | 583 | $298,801 | $68,141 | $54,407 |
| 2022 | 243 | 609 | $332,721 | $72,192 | $57,109 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 145 | $244 | $202 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 87 | $5 | $5 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $66 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $167 | $125 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 38 | $12 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 34 | $128 | $91 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 23 | $116 | $90 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | $65 | $52 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | $170 | $135 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 17 | $86 | $68 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 14 | $166 | $166 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0060170 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.