ERIC STONE, MD
Gastroenterology Physician · MISSOULA, MT
Individual Active NPI 1669511689
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 616 | 13,042 | $1,148,331 | $330,572 | $263,981 |
| 2023 | 604 | 6,106 | $859,438 | $245,472 | $193,837 |
| 2022 | 628 | 4,653 | $857,818 | $253,860 | $191,844 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 212 | $234 | $196 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 210 | $87 | $72 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 125 | $89 | $70 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 59 | $109 | $81 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 53 | $124 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $89 | $59 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 45 | $16 | $13 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 34 | $146 | $116 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 27 | $174 | $174 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 20 | $15 | $13 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 17 | $294 | $235 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | $48 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 35780 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Montana
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- NPI 1316053895
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- NPI 1780796888
- NPI 1821048729
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.