ANTHONY GAMBOA, M.D.
Gastroenterology Physician · NASHVILLE, TN
Individual Active NPI 1194969196
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 255 | 570 | $555,270 | $77,273 | $61,298 |
| 2023 | 324 | 691 | $634,652 | $89,323 | $67,997 |
| 2022 | 341 | 700 | $546,816 | $90,865 | $70,719 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | $72 | $55 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 60 | $22 | $18 |
| 43237 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 46 | $150 | $121 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | $122 | $98 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 33 | $56 | $46 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 30 | $200 | $169 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 30 | $411 | $332 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 28 | $115 | $92 |
| 43238 | Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 22 | $184 | $139 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 22 | $89 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 | $128 | $98 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $64 | $51 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD0000052799 | TN |
| Internal Medicine Physician | 207R00000X | 003811 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Tennessee
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- NPI 1588151807
- NPI 1639523343
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.