AMBIKA BALI, MD
Gastroenterology Physician · ANAHEIM, CA
Individual Active NPI 1427096478
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 163 | 343 | $103,417 | $45,387 | $34,911 |
| 2023 | 161 | 330 | $110,618 | $43,503 | $32,648 |
| 2022 | 175 | 428 | $136,487 | $60,362 | $45,636 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 100 | $98 | $66 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 53 | $123 | $98 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 44 | $120 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 34 | $179 | $143 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | $85 | $68 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | $140 | $104 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 15 | $260 | $189 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 12 | $181 | $181 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 11 | $172 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A51761 | CA |
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.