KUMAR VENKATACHALAM, MD
Gastroenterology Physician · MERRILLVILLE, IN
Individual Active NPI 1154325421
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,074 | 1,969 | $552,972 | $216,907 | $167,328 |
| 2023 | 1,015 | 1,718 | $523,148 | $196,864 | $151,247 |
| 2022 | 1,057 | 2,062 | $785,814 | $237,371 | $179,114 |
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 | 355 | $83 | $56 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 243 | $117 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 178 | $212 | $168 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 160 | $15 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 132 | $71 | $57 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 100 | $127 | $97 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | $81 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 86 | $95 | $71 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 79 | $116 | $93 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 79 | $101 | $73 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 76 | $74 | $59 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 60 | $162 | $162 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01048257A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Indiana
- NPI 1356343578
- NPI 1689678955
- NPI 1992770390
- NPI 1326356411
- NPI 1235216425
- NPI 1427245018
- NPI 1780326561
- NPI 1790137115
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.