AJAY GOEL, MD
Gastroenterology Physician · ROME, NY
Individual Active NPI 1538159405
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 683 | 1,488 | $465,688 | $160,452 | $121,242 |
| 2023 | 519 | 1,086 | $391,925 | $130,657 | $101,046 |
| 2022 | 515 | 1,192 | $405,365 | $136,157 | $105,227 |
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 | 444 | $84 | $60 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 225 | $106 | $87 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 134 | $120 | $83 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 133 | $80 | $64 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 124 | $224 | $185 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 116 | $52 | $36 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 95 | $102 | $65 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 66 | $85 | $56 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 | $157 | $113 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 20 | $152 | $116 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 16 | $167 | $167 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | $169 | $118 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 1630511 | NY |
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.