DILIPKUMAR PATEL, MD
Gastroenterology Physician · BROCKTON, MA
Individual Active NPI 1215903281
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 484 | 944 | $622,385 | $132,409 | $99,520 |
| 2023 | 551 | 1,072 | $757,221 | $152,036 | $119,631 |
| 2022 | 573 | 1,155 | $849,100 | $165,070 | $128,871 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 363 | $129 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 123 | $92 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 89 | $247 | $185 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 79 | $164 | $121 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 69 | $111 | $82 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $95 | $72 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 29 | $168 | $129 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | $171 | $137 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $182 | $134 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 22 | $176 | $176 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $169 | $169 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 13 | $99 | $79 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 50497 | MA |
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.