BRETON ROUSSEL, M.D.
Gastroenterology Physician · PROVIDENCE, RI
Individual Active NPI 1215385661
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 178 | 393 | $214,173 | $46,377 | $35,308 |
| 2023 | 82 | 162 | $96,523 | $19,305 | $15,720 |
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 | 82 | $127 | $87 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 47 | $100 | $77 |
| 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 | 47 | $5 | $4 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $168 | $112 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 35 | $115 | $95 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | $226 | $186 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $102 | $82 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $169 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD16607 | RI |
| Internal Medicine Physician | 207R00000X | MD16607 | RI |
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.