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NPI 1225136633 · Uniontown, PA · Gastroenterology Physician
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Robert Stokes is a gastroenterology physician provider located in Uniontown, Pennsylvania. This profile covers 7 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Robert Stokes |
| Address | 300 Spring Creek Lane |
| City | Uniontown |
| State | PA |
| ZIP | 15401 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | September 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $59K |
| Medicare | $55.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 130 | $200 | $26.1K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 170 | $40 | $7.3K |
| 43250 | The provider examines the esophagus, stomach, and first portion of the small intestine with a flexible esophagogastroduodenoscope, a tubular instrument with a light source and camera, which he… | 50 | $120 | $6.4K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 120 | $50 | $6.2K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 60 | $70 | $4.5K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $160 | $3.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $100 | $1.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 660 | $60 | $36.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 260 | $40 | $10.8K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $290 | $3.7K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 40 | $90 | $3.7K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 30 | $90 | $2.6K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 30 | $70 | $2K |
| 1036F | N/A | 190 | $0 | $0 |
| 3017F | Colorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or… | 390 | $0 | $0 |
| 4004F | The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination… | 50 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 240 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 43 | 290 | 90 | $290 | $85.6K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 62 | 80 | 40 | $580 | $76.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,766 | 8,160 | 210 | $60 | $68.4K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 71 | 120 | 60 | $440 | $67.2K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 6 | 10 | 40 | $470 | $46K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 183 | 340 | 40 | $80 | $18.1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 61 | 160 | 130 | $1 | $140 |
| 4004F | The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination… | 38 | 80 | 50 | $1 | $70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 98 | 350 | 110 | $1 | $50 |
| 1036F | N/A | 145 | 440 | 80 | $1 | $20 |
Showing 1–10 of 12
Other providers in the same ZIP code as Robert Stokes, ranked by combined Medicare and Medicaid revenue.
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