NIRMALA SHANMUGAM, MD
Gastroenterology Physician · LAKE WORTH, FL
Individual Active NPI 1083678502
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 687 | $444,774 | $95,908 | $74,272 |
| 2023 | 407 | 843 | $517,683 | $107,603 | $85,604 |
| 2022 | 508 | 3,311 | $909,926 | $231,803 | $179,268 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 309 | $128 | $95 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $91 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $106 | $85 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 | $169 | $123 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 45 | $248 | $210 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 36 | $182 | $153 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 16 | $182 | $182 |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 11 | $103 | $75 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 11 | $174 | $174 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME76143 | 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.