ABHINANDAN RAJ, MD
Gastroenterology Physician · DENTON, TX
Individual Active NPI 1477657070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 1,057 | $823,138 | $125,067 | $98,337 |
| 2023 | 375 | 1,464 | $1,072,117 | $163,304 | $128,299 |
| 2022 | 365 | 1,633 | $1,055,030 | $169,638 | $133,754 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 238 | $75 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 197 | $122 | $89 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | $61 | $49 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 94 | $124 | $99 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 78 | $228 | $189 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 47 | $165 | $131 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 39 | $106 | $85 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $152 | $108 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 29 | $106 | $76 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 22 | $69 | $50 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $149 | $120 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | $102 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | Q5911 | TX |
| Gastroenterology Physician | 207RG0100X | DR.0063528 | CO |
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.