SUSHIL PANDEY, MD
Colon & Rectal Surgery Physician · SURPRISE, AZ
Individual Active NPI 1568788099
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 557 | 1,838 | $1,010,935 | $325,918 | $254,185 |
| 2023 | 568 | 1,949 | $1,072,127 | $333,368 | $260,478 |
| 2022 | 515 | 1,832 | $1,039,584 | $327,601 | $253,461 |
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 | 572 | $91 | $68 |
| 46600 | Diagnostic exam of anus using an endoscope | 321 | $117 | $89 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 248 | $111 | $82 |
| 46221 | Removal of external hemorrhoids by rubber banding | 197 | $284 | $218 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 95 | $177 | $150 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $168 | $126 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 57 | $129 | $102 |
| 91120 | Test for tone and sensation of rectum and anus | 46 | $500 | $399 |
| 91122 | Study of rectum sensitivity and function | 46 | $277 | $223 |
| 15860 | Injection of agent into vein to assess blood flow of skin graft or flap | 19 | $53 | $42 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 18 | $178 | $178 |
| 46040 | Drainage of deep abscess in rectum | 13 | $556 | $439 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 43251 | AZ |
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.