ERIC BERTHIAUME, M.D.
Gastroenterology Physician · EAST GREENWICH, RI
Individual Active NPI 1235223843
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 268 | 407 | $259,498 | $54,839 | $43,681 |
| 2023 | 294 | 517 | $327,587 | $67,442 | $53,641 |
| 2022 | 282 | 1,600 | $310,334 | $83,637 | $63,837 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | $142 | $113 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 62 | $78 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 47 | $248 | $205 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 44 | $129 | $103 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 41 | $109 | $78 |
| 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 | 24 | $6 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $125 | $91 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 19 | $168 | $168 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | $174 | $141 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 | $92 | $61 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 11821 | 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.