ROBERT MOGHIMI, M.D.
Gastroenterology Physician · SIMI VALLEY, CA
Individual Active NPI 1184679664
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,337 | 3,061 | $1,178,825 | $439,277 | $333,412 |
| 2023 | 1,353 | 3,312 | $1,223,600 | $500,660 | $391,539 |
| 2022 | 1,293 | 3,043 | $1,031,965 | $477,797 | $375,413 |
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 | 720 | $94 | $68 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 579 | $170 | $133 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 389 | $171 | $116 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 337 | $104 | $82 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 181 | $116 | $91 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 153 | $139 | $109 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 147 | $176 | $137 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 118 | $241 | $190 |
| 43246 | Insertion of stomach tube using a flexible endoscope | 106 | $194 | $153 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | $116 | $91 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 48 | $140 | $110 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 28 | $132 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A94790 | CA |
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.