EDWARD PENSA, MD
Gastroenterology Physician · PROVIDENCE, RI
Individual Active NPI 1710058052
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 394 | 707 | $506,789 | $86,619 | $69,688 |
| 2023 | 382 | 659 | $461,904 | $83,933 | $66,900 |
| 2022 | 415 | 4,356 | $491,868 | $120,844 | $92,614 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 137 | $117 | $97 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 120 | $248 | $203 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 118 | $84 | $62 |
| 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 | 99 | $6 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 83 | $125 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 | $92 | $61 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 28 | $180 | $180 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 14 | $115 | $87 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 12 | $165 | $131 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $181 | $181 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 11377 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in Rhode Island →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.