SUDHIR AGARWAL, MD
Gastroenterology Physician · SUCCASUNNA, NJ
Individual Active NPI 1215006275
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 727 | 1,367 | $875,255 | $189,138 | $139,774 |
| 2023 | 783 | 1,612 | $1,057,282 | $229,133 | $173,504 |
| 2022 | 733 | 1,489 | $977,479 | $219,305 | $165,367 |
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 | 532 | $98 | $72 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 221 | $120 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 144 | $267 | $196 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 93 | $182 | $122 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 88 | $136 | $99 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 77 | $139 | $93 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 59 | $212 | $157 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | $83 | $66 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 30 | $194 | $194 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 14 | $195 | $195 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 | $87 | $70 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | $138 | $110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MA 54139 | NJ |
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.