ATUL SHAH
Gastroenterology Physician · PRINCE FREDERICK, MD
Individual Active NPI 1427077270
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 833 | 3,305 | $2,015,606 | $415,273 | $314,402 |
| 2023 | 980 | 3,468 | $1,992,213 | $464,721 | $353,294 |
| 2022 | 1,014 | 4,079 | $2,067,507 | $500,663 | $385,083 |
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 | 642 | $128 | $93 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 395 | $63 | $50 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 303 | $15 | $12 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 263 | $167 | $115 |
| 46221 | Removal of external hemorrhoids by rubber banding | 247 | $290 | $225 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 240 | $171 | $134 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 189 | $137 | $110 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 119 | $92 | $66 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 112 | $125 | $98 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 97 | $115 | $63 |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 97 | $318 | $253 |
| 36415 | Insertion of needle into vein for collection of blood sample | 95 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | D0025519 | MD |
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.