npidexNPI registry + Medicare data

ELIE GHOULAM, MD

Gastroenterology Physician · QUINCY, IL

Individual Active NPI 1699216887

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024304648$645,944$95,897$74,260
2023105175$156,471$26,632$21,169

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more113$159$113
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare100$236$197
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more81$122$95
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope74$93$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more32$86$62
G0500Moderate 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 monito32$6$4
45380Biopsy of large bowel using a flexible endoscope29$153$120
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more28$173$134
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more24$212$135
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$91$67
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more16$107$59
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk12$170$170

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓036151958IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Gastroenterology Physician providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.