ARPAN PATEL, MD
Gastroenterology Physician · ACTON, MA
Individual Active NPI 1033475983
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 445 | 2,384 | $725,148 | $168,606 | $135,808 |
| 2023 | 220 | 1,617 | $332,264 | $87,087 | $69,216 |
| 2022 | 357 | 760 | $545,379 | $116,110 | $91,324 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 166 | $264 | $218 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 124 | $138 | $107 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 86 | $107 | $84 |
| 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 | 80 | $6 | $4 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 | $124 | $98 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 53 | $100 | $84 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 44 | $137 | $104 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $181 | $144 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 31 | $196 | $156 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 25 | $192 | $192 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $236 | $176 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 14 | $137 | $109 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 284228 | MA |
| Internal Medicine Physician | 207R00000X | 4301103482 | MI | |
| Gastroenterology Physician | 207RG0100X | 4301103482 | MI |
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.