ATUL KUMAR, M.D., MBA
Gastroenterology Physician · PENSACOLA, FL
Individual Active NPI 1316049257
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 139 | 281 | $235,536 | $44,243 | $35,256 |
| 2023 | 301 | 696 | $358,340 | $86,207 | $68,789 |
| 2022 | 389 | 814 | $353,206 | $104,122 | $83,367 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 22 | $21 | $16 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | $107 | $85 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 21 | $406 | $324 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $85 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $90 | $71 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $129 | $103 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | $69 | $55 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $228 | $182 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $122 | $97 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 12 | $127 | $101 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME164143 | FL |
| Medical Oncology Physician | 207RX0202X | 77485 | AZ |
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.