NISHANT PATEL, MD
Gastroenterology Physician · FLOWER MOUND, TX
Individual Active NPI 1265693311
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 356 | 708 | $518,519 | $97,862 | $78,128 |
| 2023 | 340 | 754 | $518,333 | $95,033 | $75,926 |
| 2022 | 346 | 2,000 | $797,114 | $195,085 | $151,026 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 112 | $72 | $58 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 103 | $95 | $79 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 103 | $238 | $199 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 66 | $121 | $88 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $159 | $117 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | $198 | $157 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 35 | $75 | $59 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 26 | $22 | $17 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | $85 | $49 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 20 | $105 | $85 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 19 | $183 | $146 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $246 | $196 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | Q2600 | TX |
| Internal Medicine Physician | 207R00000X | 2008016746 | MO |
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.