SUMIT KOHLI, M.D.
Transplant Hepatology Physician · SANTA ROSA, CA
Individual Active NPI 1366426587
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 659 | 1,317 | $1,703,348 | $193,962 | $148,594 |
| 2023 | 624 | 1,175 | $1,413,797 | $187,974 | $145,446 |
| 2022 | 804 | 1,382 | $1,456,299 | $221,808 | $168,226 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 216 | $256 | $203 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 209 | $90 | $65 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 198 | $89 | $68 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 131 | $138 | $97 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 57 | $134 | $103 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | $99 | $70 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 47 | $120 | $93 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 29 | $16 | $13 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | $227 | $181 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | $178 | $131 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | $81 | $65 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 19 | $90 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Transplant Hepatology Physician | 207RT0003X | ✓ | A75849 | CA |
| Gastroenterology Physician | 207RG0100X | A758490 | CA | |
| Gastroenterology Physician | 207RG0100X | 649059 | CA | |
| Gastroenterology Physician | 207RG0100X | 016073 | ME |
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.