ANDREW STONE, M.D.
Gastroenterology Physician · BROCKTON, MA
Individual Active NPI 1497795561
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 451 | 717 | $542,446 | $121,675 | $97,500 |
| 2023 | 431 | 765 | $582,491 | $126,054 | $100,314 |
| 2022 | 609 | 1,051 | $720,335 | $172,877 | $135,163 |
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 | 152 | $129 | $91 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 129 | $244 | $204 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $95 | $70 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $169 | $127 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 49 | $117 | $91 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 46 | $78 | $62 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 39 | $173 | $173 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 29 | $100 | $76 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 29 | $168 | $168 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 23 | $24 | $19 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 23 | $755 | $585 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | $110 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 12037 | 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.