PANKAJ PATEL, M.D.
Gastroenterology Physician · SEBRING, FL
Individual Active NPI 1053374256
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,250 | 2,747 | $1,641,730 | $376,793 | $297,439 |
| 2023 | 1,401 | 3,192 | $1,807,456 | $431,180 | $338,419 |
| 2022 | 1,398 | 3,661 | $1,740,321 | $481,444 | $376,994 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 633 | $122 | $96 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 532 | $66 | $52 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 356 | $116 | $92 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 264 | $246 | $195 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 237 | $169 | $134 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 167 | $146 | $114 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 129 | $77 | $62 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 80 | $86 | $66 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | $212 | $168 |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | $174 | $139 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $160 | $119 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 33 | $679 | $533 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME87907 | FL |
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.