BENJAMIN GOUGH
Colon & Rectal Surgery Physician · ROUND ROCK, TX
Individual Active NPI 1649632175
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 181 | 384 | $302,904 | $78,176 | $62,441 |
| 2023 | 151 | 325 | $248,747 | $70,421 | $55,814 |
| 2022 | 58 | 124 | $89,756 | $23,129 | $18,535 |
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 | 74 | $120 | $91 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 51 | $237 | $193 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 | $160 | $117 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 41 | $108 | $91 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 24 | $173 | $173 |
| 46600 | Diagnostic exam of anus using an endoscope | 23 | $110 | $88 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 16 | $173 | $173 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | T7223 | TX |
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.