ALI FAKHREDDINE, M.D.
Gastroenterology Physician · ENCINITAS, CA
Individual Active NPI 1336586908
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 403 | 1,122 | $843,175 | $116,496 | $90,633 |
| 2023 | 315 | 699 | $588,783 | $87,436 | $67,936 |
| 2022 | 355 | 820 | $664,498 | $103,216 | $80,208 |
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 | 189 | $17 | $13 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 166 | $5 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 117 | $137 | $101 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 111 | $177 | $127 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 102 | $252 | $208 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 97 | $73 | $57 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 58 | $186 | $143 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | $79 | $63 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | $133 | $104 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 41 | $96 | $78 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 30 | $120 | $90 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 18 | $120 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A133244 | CA |
| Internal Medicine Physician | 207R00000X | A133244 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.