ABHINAV KOUL, M.D.
Gastroenterology Physician · SACRAMENTO, CA
Individual Active NPI 1700145661
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 484 | 1,405 | $881,639 | $195,241 | $153,765 |
| 2023 | 451 | 1,264 | $1,128,949 | $175,576 | $136,863 |
| 2022 | 455 | 1,264 | $1,173,066 | $186,175 | $145,491 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 232 | $53 | $41 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 135 | $218 | $182 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 109 | $41 | $32 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 72 | $192 | $140 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 69 | $139 | $104 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | $81 | $64 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 62 | $178 | $140 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 60 | $24 | $19 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 52 | $105 | $83 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | $232 | $177 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | $134 | $107 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 36 | $101 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A147676 | 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.