Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 1 | 11 | 12 | $12,936 | $945.86 |
| 2022 | 1 | 15 | 15 | $14,676 | $1,316 |
| 2021 | 9 | 578 | 701 | $107,552 | $43,953 |
| 2020 | 11 | 607 | 696 | $157,286 | $54,688 |
All Medicare Procedures & Services
22 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 11 | 12 | $12,936 | $945.86 | 7.3% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 15 | 15 | $14,676 | $1,316 | 9.0% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2021 | 181 | 187 | $18,930 | $13,550 | 71.6% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2021 | 174 | 277 | $22,991 | $8,443 | 36.7% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 70 | 70 | $22,918 | $7,167 | 31.3% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 50 | 64 | $9,856 | $3,755 | 38.1% |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 34 | 34 | $8,942 | $3,208 | 35.9% |
| 45378 | Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk | Facility | 2021 | 21 | 21 | $8,843 | $3,073 | 34.8% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 12 | 12 | $6,528 | $2,528 | 38.7% |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | Facility | 2021 | 12 | 12 | $5,856 | $1,542 | 26.3% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Facility | 2021 | 24 | 24 | $2,688 | $687.01 | 25.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 136 | 189 | $32,130 | $11,078 | 34.5% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2020 | 115 | 115 | $12,658 | $9,308 | 73.5% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 90 | 90 | $33,672 | $9,136 | 27.1% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2020 | 111 | 141 | $12,972 | $4,558 | 35.1% |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 44 | 46 | $13,885 | $4,353 | 31.4% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | Facility | 2020 | 16 | 17 | $12,621 | $3,700 | 29.3% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 34 | 35 | $6,168 | $3,670 | 59.5% |
| 45378 | Diagnostic examination of large bowel using an endoscope | Facility | 2020 | 23 | 23 | $11,429 | $3,470 | 30.4% |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 13 | 14 | $6,678 | $2,396 | 35.9% |
| 43247 | Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 12 | 12 | $5,040 | $1,627 | 32.3% |
| 45380 | Biopsy of large bowel using an endoscope | Facility | 2020 | 13 | 14 | $10,033 | $1,392 | 13.9% |
About Dr. Stephen Coleman, M.D
Dr. Stephen Coleman, M.D is a Gastroenterology healthcare provider based in Augusta, Maine. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/26/2006. The National Provider Identifier (NPI) number assigned to this provider is 1952368987.
As a Medicare-enrolled provider, Coleman has provided services to 1,211 Medicare beneficiaries, totaling 1,424 services with total Medicare billing of $100,904. Data is available for 4 years (2020–2023), covering 22 distinct procedure/service records.
Practice Information
- Specialty Gastroenterology
- Other Specialties Gastroenterology
- Location Augusta, ME
- Active Since 04/26/2006
- Last Updated 10/16/2012
- Taxonomy Code 207RG0100X
- Entity Type Individual
- NPI Number 1952368987
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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