ATUL VACHHANI, MD
Gastroenterology Physician · SANTA MARIA, CA
Individual Active NPI 1609890748
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,076 | 3,546 | $1,908,958 | $514,596 | $386,460 |
| 2023 | 1,067 | 3,308 | $1,910,966 | $505,533 | $390,869 |
| 2022 | 934 | 2,988 | $1,703,813 | $480,623 | $364,601 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,165 | $133 | $96 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 391 | $94 | $69 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 353 | $69 | $56 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 348 | $251 | $208 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 270 | $113 | $84 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 220 | $173 | $110 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 114 | $117 | $70 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 105 | $66 | $53 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 66 | $51 | $41 |
| 46221 | Removal of external hemorrhoids by rubber banding | 51 | $307 | $228 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 49 | $827 | $652 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 46 | $12 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A67917 | 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.