AHMAD SHUGHOURY, MD
Gastroenterology Physician · MERRILLVILLE, IN
Individual Active NPI 1356343578
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 645 | 1,476 | $454,421 | $175,417 | $139,210 |
| 2023 | 668 | 1,234 | $432,764 | $163,206 | $128,714 |
| 2022 | 686 | 1,380 | $611,085 | $185,837 | $145,420 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 258 | $116 | $87 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 200 | $107 | $85 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 136 | $73 | $58 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 126 | $156 | $124 |
| 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 | 104 | $15 | $12 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 88 | $97 | $75 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 73 | $192 | $160 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 64 | $84 | $57 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 47 | $211 | $177 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | $91 | $73 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 41 | $157 | $124 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $120 | $96 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 01059363A | IN |
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.