AMIR PRUSHANI, M.D. M.A.
Gastroenterology Physician · PHILADELPHIA, PA
Individual Active NPI 1275762858
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 404 | 856 | $1,272,367 | $121,093 | $97,453 |
| 2023 | 15 | 24 | $14,928 | $3,389 | $2,418 |
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 | $94 | $75 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 106 | $103 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 100 | $264 | $221 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 94 | $188 | $144 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | $146 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $104 | $83 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 53 | $127 | $100 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | $180 | $135 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | $83 | $66 |
| 99421 | Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes | 17 | $17 | $13 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $94 | $75 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 12 | $170 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A135091 | CA |
| Internal Medicine Physician | 207R00000X | MT195869 | PA |
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.