EDWARD CROEN, MD
Gastroenterology Physician · MIDDLETOWN, NY
Individual Active NPI 1780677708
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 914 | 2,453 | $1,025,295 | $281,611 | $218,716 |
| 2023 | 853 | 3,044 | $963,638 | $283,874 | $222,275 |
| 2022 | 834 | 4,517 | $1,130,038 | $339,395 | $270,849 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 369 | $97 | $68 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 300 | $136 | $100 |
| 36415 | Insertion of needle into vein for collection of blood sample | 172 | $9 | $9 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 130 | $120 | $80 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 119 | $112 | $88 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 106 | $158 | $130 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 104 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 92 | $10 | $10 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 91 | $176 | $126 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 89 | $265 | $221 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 78 | $82 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 59 | $138 | $108 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 191855 | NY |
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.