ABBAS RUPAWALA, M.D.
Gastroenterology Physician · WORCESTER, MA
Individual Active NPI 1649583782
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 384 | 726 | $675,429 | $86,458 | $67,057 |
| 2023 | 390 | 700 | $652,817 | $87,746 | $68,303 |
| 2022 | 331 | 507 | $428,563 | $67,200 | $52,657 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 106 | $129 | $102 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 98 | $96 | $73 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 76 | $127 | $95 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 58 | $143 | $106 |
| 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 | 55 | $5 | $4 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 51 | $242 | $187 |
| 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 | 27 | $5 | $4 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | $134 | $105 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 24 | $241 | $192 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | $99 | $79 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $73 | $51 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | $78 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 291377 | MA |
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.