ASHBY THOMAS, M.D.
Gastroenterology Physician · NEW HYDE PARK, NY
Individual Active NPI 1366767154
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 357 | 710 | $681,523 | $126,974 | $97,022 |
| 2023 | 324 | 631 | $630,393 | $117,384 | $90,039 |
| 2022 | 286 | 573 | $617,372 | $113,429 | $87,483 |
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 | 183 | $148 | $110 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 69 | $195 | $139 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | $514 | $404 |
| 82274 | Stool analysis for blood, by fecal hemoglobin determination by immunoassay | 47 | $16 | $16 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 47 | $131 | $105 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | $193 | $155 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $350 | $280 |
| 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 | 29 | $19 | $15 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | $87 | $70 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 22 | $201 | $156 |
| 99422 | Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes | 20 | $34 | $24 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $100 | $79 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 263731 | NY |
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.