VIJAYAPRASAD TUMMALA, MD
Gastroenterology Physician · GADSDEN, AL
Individual Active NPI 1104818616
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 321 | 771 | $239,905 | $85,186 | $66,176 |
| 2023 | 371 | 972 | $306,618 | $106,833 | $82,503 |
| 2022 | 442 | 1,118 | $385,594 | $128,560 | $98,011 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 129 | $83 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 112 | $117 | $81 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 79 | $46 | $36 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 75 | $120 | $95 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 72 | $111 | $89 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 55 | $87 | $69 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 53 | $224 | $183 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $153 | $113 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | $109 | $83 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $62 | $45 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 19 | $166 | $166 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | $73 | $58 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 12339 | AL |
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.