AHMAD ABU-HEIJA, M.D.
Gastroenterology Physician · OAK RIDGE, TN
Individual Active NPI 1134574072
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 313 | 718 | $341,397 | $94,347 | $73,239 |
| 2023 | 166 | 317 | $134,766 | $42,567 | $34,920 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 149 | $213 | $172 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | $60 | $46 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | $46 | $34 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 61 | $159 | $125 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 | $151 | $92 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 37 | $109 | $87 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 33 | $116 | $78 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | $72 | $58 |
| 36415 | Insertion of needle into vein for collection of blood sample | 23 | $8 | $8 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $96 | $64 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 19 | $110 | $86 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | $146 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 66423 | TN |
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.