ALI DURAL, M.D.
Gastroenterology Physician · SHENANDOAH, TX
Individual Active NPI 1376543470
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,021 | 1,972 | $932,104 | $255,728 | $194,260 |
| 2023 | 1,053 | 1,925 | $907,679 | $252,929 | $192,612 |
| 2022 | 1,105 | 1,963 | $932,764 | $256,971 | $192,437 |
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 | 570 | $121 | $85 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 256 | $91 | $72 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 219 | $106 | $64 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 210 | $84 | $63 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 164 | $236 | $193 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 158 | $158 | $109 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 132 | $142 | $114 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 75 | $165 | $165 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 67 | $166 | $166 |
| 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 | 34 | $16 | $12 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 33 | $153 | $118 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | J9005 | TX |
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.