RAJ SHAH, MD
Gastroenterology Physician · PICKERINGTON, OH
Individual Active NPI 1255727244
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 335 | 468 | $331,031 | $67,932 | $53,848 |
| 2023 | 156 | 207 | $147,817 | $28,079 | $23,002 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 75 | $230 | $192 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 71 | $95 | $75 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $155 | $104 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | $124 | $97 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 | $121 | $93 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $101 | $77 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | $104 | $80 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $86 | $57 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 16 | $143 | $108 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $168 | $168 |
| 91122 | Study of rectum sensitivity and function | 12 | $253 | $201 |
| 91120 | Test for tone and sensation of rectum and anus | 12 | $338 | $269 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 35.147388 | OH |
| Internal Medicine Physician | 207R00000X | MD60855945 | WA |
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.