HESHAM ELGOUHARI, M.D.
Hepatology Physician · DENISON, TX
Individual Active NPI 1104096726
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 626 | 3,797 | $743,907 | $356,817 | $267,802 |
| 2023 | 607 | 3,984 | $862,758 | $459,690 | $354,198 |
| 2022 | 502 | 4,001 | $899,650 | $445,793 | $347,182 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,356 | $105 | $81 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,004 | $81 | $57 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 261 | $114 | $85 |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 222 | $91 | $68 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 219 | $153 | $118 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 182 | $3 | $2 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 169 | $70 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 136 | $148 | $105 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 100 | $116 | $90 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 87 | $31 | $24 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 34 | $50 | $33 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $95 | $70 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | ✓ | 7199 | SD |
| Hepatology Physician | 207RI0008X | 57.011317 | OH | |
| Infectious Disease Physician | 207RI0200X | 57.011317 | OH | |
| Transplant Hepatology Physician | 207RT0003X | 57.011317 | OH |
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.