SEAN CAUFIELD, M.D.
Gastroenterology Physician · LOVELAND, CO
Individual Active NPI 1669536439
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 491 | 16,288 | $1,261,408 | $390,111 | $308,915 |
| 2023 | 390 | 11,056 | $1,035,574 | $308,034 | $245,216 |
| 2022 | 441 | 13,074 | $1,239,604 | $378,176 | $299,192 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 7,500 | $22 | $17 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,370 | $31 | $25 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 695 | $36 | $25 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 207 | $242 | $201 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 149 | $67 | $51 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 143 | $51 | $42 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 67 | $90 | $70 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 60 | $121 | $95 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 52 | $132 | $99 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 39 | $89 | $66 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 35 | $71 | $55 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | $128 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 56644 | CO |
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.