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NPI 1871579987 · Boston, MA · Gastroenterology Physician
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Alphonso Brown is a gastroenterology physician provider located in Boston, Massachusetts. This profile covers 11 Medicare and 9 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 | Alphonso Brown |
| Address | 330 Brookline Ave |
| City | Boston |
| State | MA |
| ZIP | 02215 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | December 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $99.1K |
| Medicare | $66.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 280 | $80 | $20.9K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 290 | $60 | $17.4K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 50 | $140 | $6.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 30 | $140 | $4.2K |
| 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… | 40 | $90 | $3.4K |
| 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… | 20 | $120 | $2.9K |
| 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 | $220 | $2.7K |
| 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. | 30 | $90 | $2.6K |
| 82575 | The lab analyst measures the amount of creatinine clearance, the waste material generated by the muscle tissue, in a patient specimen. Creatinine clearance refers to the amount of serum or plasma… | 290 | $10 | $2.6K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 30 | $90 | $2.6K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 80307 | 30 | 130 | 120 | $60 | $36K |
| 45385 | 444 | 460 | 60 | $260 | $23.8K |
| 99214 | 11,854 | 15,410 | 110 | $80 | $15.6K |
| 45380 | 345 | 460 | 50 | $160 | $11.9K |
| 99213 | 1,854 | 13,700 | 70 | $60 | $8.8K |
| 43239 | 345 | 470 | 50 | $120 | $8.4K |
| 99223 | 2,293 | 4,430 | 30 | $140 | $7.6K |
| 45378 | 29 | 210 | 20 | $160 | $4.7K |
| 43235 | 83 | 250 | 20 | $100 | $2.9K |
| 99442 | 464 | 1,200 | 20 | $60 | $2.6K |
Showing 1–10 of 11
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 840 | $50 | $44.7K |
| 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… | 410 | $70 | $26.3K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 350 | $50 | $16.8K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 40 | $130 | $5.3K |
| 82575 | The lab analyst measures the amount of creatinine clearance, the waste material generated by the muscle tissue, in a patient specimen. Creatinine clearance refers to the amount of serum or plasma… | 350 | $10 | $3.5K |
| 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. | 10 | $100 | $1.2K |
| 4000F | A provider determines that a patient who presents with a diagnosis of asthma uses tobacco and or has an exposure to a passive smoking environment. The provider then does a brief counseling session… | 50 | $10 | $620 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 50 | $10 | $620 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 50 | $10 | $600 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
9 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. | 118 | 120 | 530 | $450 | $681.5K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 205 | 370 | 500 | $40 | $605.1K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 52 | 70 | 160 | $620 | $428.7K |
| 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… | 1,933 | 5,040 | 200 | $70 | $209.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,565 | 5,300 | 230 | $60 | $164.5K |
| 82575 | The lab analyst measures the amount of creatinine clearance, the waste material generated by the muscle tissue, in a patient specimen. Creatinine clearance refers to the amount of serum or plasma… | 4 | 10 | 2,530 | $10 | $36.4K |
| 4000F | A provider determines that a patient who presents with a diagnosis of asthma uses tobacco and or has an exposure to a passive smoking environment. The provider then does a brief counseling session… | 2 | 10 | 1,470 | $1 | $300 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 171 | 220 | 400 | $1 | $60 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 39 | 50 | 240 | $1 | $50 |
Other providers in the same ZIP code as Alphonso Brown, ranked by combined Medicare and Medicaid revenue.
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