IRA STEIN, M. D.
Gastroenterology Physician · NASHVILLE, TN
Individual Active NPI 1790757821
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 453 | 885 | $405,879 | $120,111 | $97,268 |
| 2023 | 501 | 1,064 | $506,067 | $136,507 | $109,133 |
| 2022 | 522 | 991 | $466,056 | $132,348 | $105,700 |
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 | 132 | $88 | $62 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 113 | $76 | $61 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 88 | $179 | $148 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 74 | $89 | $72 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 72 | $170 | $137 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 45 | $177 | $177 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 | $104 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 35 | $163 | $132 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 34 | $243 | $200 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | $116 | $94 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 27 | $129 | $97 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $172 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD0000022169 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.