ELIAS GHANDOUR, M.D.
Gastroenterology Physician · LUBBOCK, TX
Individual Active NPI 1699719138
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 585 | 1,591 | $441,703 | $170,139 | $128,529 |
| 2023 | 653 | 1,648 | $460,075 | $183,301 | $139,143 |
| 2022 | 664 | 1,826 | $497,153 | $205,814 | $152,970 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 333 | $86 | $63 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 300 | $121 | $87 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 199 | $47 | $38 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 177 | $81 | $60 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 83 | $169 | $129 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 73 | $158 | $116 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 54 | $124 | $99 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 43 | $123 | $93 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | $75 | $60 |
| 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 | 35 | $16 | $11 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 32 | $79 | $61 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 29 | $240 | $181 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | H4930 | TX |
| Specialist | 174400000X | H4930 | 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.