DONALD PHAM, M.D.
Gastroenterology Physician · LAWRENCEVILLE, GA
Individual Active NPI 1437319993
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 221 | 371 | $189,285 | $49,889 | $38,459 |
| 2023 | 304 | 537 | $272,612 | $72,923 | $54,978 |
| 2022 | 273 | 518 | $248,641 | $66,745 | $50,687 |
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 | 99 | $125 | $90 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 57 | $90 | $58 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $103 | $83 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $164 | $119 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | $247 | $206 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $155 | $127 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | $77 | $60 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 11 | $171 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 071551 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Georgia
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- NPI 1477581999
- NPI 1720116494
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.