BRETT KALMOWITZ, MD
Gastroenterology Physician · PROVIDENCE, RI
Individual Active NPI 1700817269
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 299 | 4,362 | $500,037 | $144,637 | $113,818 |
| 2023 | 275 | 6,053 | $526,924 | $146,338 | $114,706 |
| 2022 | 307 | 3,389 | $545,018 | $135,568 | $105,684 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 142 | $36 | $24 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 107 | $6 | $4 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 93 | $249 | $209 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | $128 | $90 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 67 | $89 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $169 | $123 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 30 | $90 | $67 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | $90 | $75 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | $129 | $93 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 19 | $181 | $152 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $112 | $75 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD12041 | RI |
| Gastroenterology Physician | 207RG0100X | 210642 | 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.