PREJESH PHILIPS, M.D.
Surgical Oncology Physician · LOUISVILLE, KY
Individual Active NPI 1114183787
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 202 | 756 | $558,981 | $156,791 | $124,376 |
| 2023 | 193 | 615 | $450,603 | $126,030 | $99,737 |
| 2022 | 153 | 524 | $334,745 | $97,356 | $75,972 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 89 | $74 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 69 | $115 | $90 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 61 | $166 | $126 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $81 | $63 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 47 | $294 | $235 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 36 | $111 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 34 | $155 | $124 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | $122 | $97 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 30 | $203 | $157 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 27 | $59 | $47 |
| 43276 | Replacement of stent in pancreatic or bile duct using a flexible endoscope | 20 | $388 | $309 |
| 43238 | Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 16 | $188 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | ✓ | 45387 | KY |
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.