ALI HEMACHA, MD
Gastroenterology Physician · VERNON, CT
Individual Active NPI 1225000870
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 206 | 372 | $310,720 | $55,950 | $44,362 |
| 2023 | 192 | 336 | $292,749 | $51,786 | $42,185 |
| 2022 | 191 | 333 | $290,721 | $52,973 | $40,977 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 105 | $107 | $85 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 70 | $260 | $203 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 | $132 | $101 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 38 | $122 | $97 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 24 | $185 | $185 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 20 | $116 | $69 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $165 | $119 |
| 43450 | Dilation of esophagus | 15 | $40 | $33 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 11 | $177 | $138 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 039170 | CT |
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.