BINH PHAM, M.D.
Gastroenterology Physician · AUSTIN, TX
Individual Active NPI 1558371559
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 439 | 890 | $557,870 | $127,861 | $99,030 |
| 2023 | 423 | 859 | $524,111 | $120,123 | $91,552 |
| 2022 | 489 | 1,029 | $625,037 | $152,988 | $116,045 |
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 | 193 | $89 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 126 | $234 | $184 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 92 | $89 | $66 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 81 | $92 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 70 | $126 | $93 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 65 | $111 | $78 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 30 | $163 | $119 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 19 | $106 | $84 |
| 43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 15 | $427 | $327 |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 14 | $322 | $256 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $172 | $172 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | N7478 | TX |
| Gastroenterology Physician | 207RG0100X | A96488 | 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.