KALPESH PATEL, MD
Gastroenterology Physician · CONCORD, NC
Individual Active NPI 1508285065
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 206 | 439 | $203,871 | $52,280 | $39,506 |
| 2023 | 228 | 528 | $247,062 | $65,721 | $51,306 |
| 2022 | 272 | 562 | $284,766 | $69,491 | $52,309 |
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 | 56 | $88 | $62 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 56 | $97 | $79 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | $126 | $99 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 48 | $241 | $194 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | $74 | $60 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 32 | $124 | $86 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 31 | $107 | $65 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 25 | $157 | $97 |
| 43450 | Dilation of esophagus | 24 | $38 | $31 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 21 | $90 | $69 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 15 | $54 | $32 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2021-03299 | NC |
| Internal Medicine Physician | 207R00000X | 25MA10263400 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA10263400 | NJ |
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.