SEAN RICE, M.D.
Gastroenterology Physician · CHATTANOOGA, TN
Individual Active NPI 1447679584
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 321 | 602 | $192,046 | $67,606 | $53,384 |
| 2023 | 285 | 527 | $156,597 | $60,062 | $46,573 |
| 2022 | 284 | 541 | $170,650 | $61,828 | $47,675 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 97 | $83 | $60 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 64 | $220 | $178 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | $63 | $51 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | $73 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 50 | $116 | $86 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | $122 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $154 | $121 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | $114 | $93 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 27 | $105 | $85 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16 | $77 | $62 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 13 | $101 | $67 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $87 | $70 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 55511 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Tennessee
- NPI 1316013121
- NPI 1740339936
- NPI 1801025440
- NPI 1164927950
- NPI 1417195207
- NPI 1972567592
- NPI 1013215078
- NPI 1124024534
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.