THOMAS VALLONE, DO
Gastroenterology Physician · DARTMOUTH, MA
Individual Active NPI 1194793513
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 635 | 1,249 | $862,802 | $160,652 | $124,397 |
| 2023 | 715 | 1,839 | $1,164,207 | $199,562 | $158,041 |
| 2022 | 707 | 1,845 | $1,201,494 | $210,867 | $161,722 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 324 | $129 | $93 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 216 | $240 | $196 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 89 | $169 | $122 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 | $105 | $80 |
| 36415 | Insertion of needle into vein for collection of blood sample | 66 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 46 | $10 | $10 |
| 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 | 45 | $6 | $4 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 37 | $7 | $7 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 35 | $176 | $120 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 33 | $95 | $73 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | $112 | $79 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | $78 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 210679 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.