ASHISH SHAH, M.D.
Gastroenterology Physician · RALEIGH, NC
Individual Active NPI 1083645477
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 281 | 7,193 | $816,566 | $212,239 | $167,945 |
| 2023 | 298 | 2,350 | $408,380 | $88,276 | $69,074 |
| 2022 | 442 | 700 | $467,500 | $98,865 | $75,893 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 135 | $45 | $36 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 82 | $233 | $185 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 78 | $59 | $47 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | $73 | $57 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 36 | $118 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $156 | $116 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | $104 | $71 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $85 | $65 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 21 | $153 | $125 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 21 | $103 | $84 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 20 | $120 | $74 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 19 | $129 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2015-00288 | NC |
| Specialist | 174400000X | C1-0007922 | DE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.