ELISA VALENTE, M.D.
Gastroenterology Physician · QUINCY, MA
Individual Active NPI 1316999683
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 2,392 | $667,761 | $196,489 | $158,473 |
| 2023 | 308 | 2,507 | $604,510 | $186,461 | $146,664 |
| 2022 | 309 | 1,724 | $633,413 | $167,908 | $132,469 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 103 | $279 | $228 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 85 | $490 | $402 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 72 | $136 | $96 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | $280 | $211 |
| 36415 | Insertion of needle into vein for collection of blood sample | 45 | $9 | $9 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $337 | $337 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $181 | $114 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $196 | $149 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 18 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 14 | $10 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 | $100 | $68 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $65 | $52 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 226823 | MA |
| Internal Medicine Physician | 207R00000X | 226823 | MA |
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.