ANISH SHETH, MD
Gastroenterology Physician · PRINCETON, NJ
Individual Active NPI 1336235191
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 562 | 1,224 | $552,578 | $157,455 | $123,698 |
| 2023 | 582 | 933 | $574,693 | $146,633 | $113,593 |
| 2022 | 551 | 963 | $677,401 | $152,982 | $114,828 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 272 | $18 | $14 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 201 | $142 | $104 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 145 | $182 | $132 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 | $103 | $79 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 76 | $269 | $229 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 71 | $141 | $111 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 69 | $194 | $161 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | $85 | $68 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 | $111 | $90 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 33 | $200 | $200 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $125 | $86 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $102 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25MA08906400 | NJ |
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.