BRETT HUGHES, MD
Gastroenterology Physician · NEWPORT BEACH, CA
Individual Active NPI 1831630243
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 363 | 5,739 | $776,940 | $211,910 | $166,222 |
| 2023 | 202 | 303 | $123,103 | $41,271 | $32,659 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 142 | $124 | $93 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 122 | $231 | $191 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 115 | $160 | $107 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | $87 | $63 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 72 | $64 | $52 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 64 | $107 | $79 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | $93 | $74 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | $93 | $74 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $174 | $174 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | $125 | $100 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A200982 | CA |
| Internal Medicine Physician | 207R00000X | A200982 | CA |
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.