AMBRISH GHUMMAN, M.D.
Gastroenterology Physician · MODESTO, CA
Individual Active NPI 1093019929
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 792 | 1,514 | $2,091,874 | $198,997 | $161,487 |
| 2023 | 654 | 1,252 | $1,542,524 | $168,389 | $137,802 |
| 2022 | 668 | 1,376 | $1,595,341 | $181,612 | $144,626 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 312 | $106 | $89 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 297 | $91 | $70 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 240 | $244 | $205 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 133 | $171 | $133 |
| 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 | 115 | $5 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 82 | $131 | $94 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 46 | $93 | $66 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 29 | $180 | $180 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 28 | $180 | $149 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 26 | $124 | $99 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | $117 | $89 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 22 | $179 | $179 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A114452 | CA |
| Internal Medicine Physician | 207R00000X | A114452 | CA |
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.