ERIC NEWTON, MD
Gastroenterology Physician · PROVIDENCE, RI
Individual Active NPI 1952430019
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 469 | 877 | $500,583 | $98,278 | $76,336 |
| 2023 | 444 | 830 | $445,691 | $97,645 | $75,981 |
| 2022 | 457 | 8,194 | $665,817 | $251,115 | $193,338 |
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 | 215 | $129 | $89 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 116 | $244 | $203 |
| 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 | 104 | $6 | $4 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 103 | $72 | $53 |
| 91200 | Measurement of liver stiffness | 82 | $31 | $22 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 65 | $80 | $61 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 19 | $136 | $104 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 18 | $180 | $180 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 17 | $141 | $113 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 14 | $92 | $73 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $180 | $180 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $168 | $118 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD12863 | RI |
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.