AMIR HOSSEIN GOUGOL, MD
Gastroenterology Physician · STANFORD, CA
Individual Active NPI 1568810984
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 274 | 664 | $462,527 | $95,669 | $72,094 |
| 2023 | 66 | 167 | $95,523 | $20,000 | $15,847 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 129 | $133 | $106 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 109 | $216 | $155 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 68 | $194 | $155 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 59 | $261 | $169 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 50 | $19 | $15 |
| 91200 | Measurement of liver stiffness | 38 | $24 | $19 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 22 | $37 | $29 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | $113 | $91 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | $146 | $122 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 15 | $154 | $127 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 12 | $6 | $4 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $121 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A177795 | CA |
| Internal Medicine Physician | 207R00000X | A177795 | CA | |
| Transplant Hepatology Physician | 207RT0003X | A177795 | 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.