PRAVEEN ROY, MD
Gastroenterology Physician · ANCHORAGE, AK
Individual Active NPI 1215958459
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 502 | 6,173 | $1,781,541 | $283,188 | $228,561 |
| 2023 | 450 | 3,727 | $1,472,828 | $222,544 | $179,550 |
| 2022 | 404 | 4,164 | $1,323,859 | $209,600 | $164,920 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | $95 | $72 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 100 | $160 | $134 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $315 | $264 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 64 | $160 | $123 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 63 | $110 | $82 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 56 | $209 | $161 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | $271 | $216 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | $302 | $241 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 33 | $230 | $230 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 33 | $135 | $103 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 28 | $225 | $225 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 | $225 | $180 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 55751 | WI |
| Gastroenterology Physician | 207RG0100X | 2006017171 | MO | |
| Gastroenterology Physician | 207RG0100X | MD.203593 | LA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Alaska
- NPI 1851919146
- NPI 1831316066
- NPI 1093379315
- NPI 1083630321
- NPI 1174500045
- NPI 1417934928
- NPI 1215112065
- NPI 1619959384
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.