Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $274 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
740
Rank: 1st
out of 66 providers in this state & specialty
Services
Performed
2,082
Rank: 6th
out of 66 providers in this state & specialty
Avg Services
Per Patient
2.8 This Provider
Avg 4
Total Paid
by Medicare
$158K
Rank: 12th
out of 66 providers in this state & specialty
Avg Paid
Per Patient
$214 This Provider
Avg $274

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 36 different services in 2015
(18 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
605
times performed,
29% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

383
patients got this service, 52% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$101,143.90an average of $167.18 per time performed $46,228.05
an average of $76.41 per time performed
medical
PATHOLOGY AND LABORATORY

Pathology examination of tissue using a microscope, inter... +

Pathology examination of tissue using a microscope, intermediate complexity ×

Service Code: 88305
Performed in an office
481
times performed,
23% of his services

2nd 1st

most performed service for this provider most performed service in this state & specialty

247
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$72,150.00an average of $150.00 per time performed $12,866.75
an average of $26.75 per time performed
medical

Measuring the stiffness in the liver via elastography

Service Code: 91200
Performed in an office
174
times performed,
8% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in RI perform this service

174
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
$87,000.00an average of $500.00 per time performed $5,011.20
an average of $28.80 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in a facility
132
times performed,
6% of his services

4th 4th

most performed service for this provider most performed service in this state & specialty

132
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$104,984.88an average of $795.34 per time performed $11,736.12
an average of $88.91 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
111
times performed,
5% of his services

5th 5th

most performed service for this provider most performed service in this state & specialty

111
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$111,000.00an average of $1,000.00 per time performed $13,401.03
an average of $120.73 per time performed
medical
PATHOLOGY AND LABORATORY

Special stained specimen slides to identify organisms inc... +

Special stained specimen slides to identify organisms including interpretation and report ×

Service Code: 88312
Performed in an office
111
times performed,
5% of his services

6th 10th

most performed service for this provider most performed service in this state & specialty

94
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,650.00an average of $150.00 per time performed $6,396.93
an average of $57.63 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in a facility
105
times performed,
5% of his services

7th 6th

most performed service for this provider most performed service in this state & specialty

105
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$136,500.00an average of $1,300.00 per time performed $25,758.60
an average of $245.32 per time performed
medical
PATHOLOGY AND LABORATORY

Special stained specimen slides to examine tissue includi... +

Special stained specimen slides to examine tissue including interpretation and report ×

Service Code: 88313
Performed in an office
79
times performed,
4% of his services

8th 15th

most performed service for this provider most performed service in this state & specialty

79
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,900.00an average of $100.00 per time performed $3,615.83
an average of $45.77 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual at... +

Colorectal cancer screening; colonoscopy on individual at high risk ×

Service Code: G0105
Performed in a facility
41
times performed,
2% of his services

9th 18th

most performed service for this provider most performed service in this state & specialty

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,335.00an average of $935.00 per time performed $8,297.99
an average of $202.39 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
39
times performed,
2% of his services

10th 17th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$7,644.00an average of $196.00 per time performed $4,192.50
an average of $107.50 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
38
times performed,
2% of his services

11th 22nd

most performed service for this provider most performed service in this state & specialty

38
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,394.00an average of $63.00 per time performed $1,218.28
an average of $32.06 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of large bowel using an endoscope +

Diagnostic examination of large bowel using an endoscope ×

Service Code: 45378
Performed in a facility
28
times performed,
1% of his services

12th 13th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,168.92an average of $898.89 per time performed $4,627.56
an average of $165.27 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
25
times performed,
1% of his services

13th 3rd

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,300.00an average of $92.00 per time performed $1,235.00
an average of $49.40 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
17
times performed,
0.82% of his services

14th 35th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,664.97an average of $274.41 per time performed $2,572.61
an average of $151.33 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
16
times performed,
0.77% of his services

15th 19th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,304.00an average of $144.00 per time performed $1,025.76
an average of $64.11 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual no... +

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ×

Service Code: G0121
Performed in a facility
16
times performed,
0.77% of his services

16th 20th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,960.00an average of $935.00 per time performed $3,341.76
an average of $208.86 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
12
times performed,
0.58% of his services

17th 8th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,751.00an average of $229.25 per time performed $1,546.08
an average of $128.84 per time performed
medical
DIGESTIVE SYSTEM

Insertion of guide wire with dilation of esophagus using ... +

Insertion of guide wire with dilation of esophagus using an endoscope ×

Service Code: 43248
Performed in a facility
12
times performed,
0.58% of his services

18th 23rd

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,600.00an average of $800.00 per time performed $1,730.76
an average of $144.23 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Thomas E. Sepe
Average for Gastroenterology Providers in Rhode Island

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.