NILESH SHUKLA, M.D.
Gastroenterology Physician · PARAMUS, NJ
Individual Active NPI 1710058334
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 292 | 1,630 | $2,071,803 | $182,970 | $141,709 |
| 2023 | 331 | 1,860 | $3,625,246 | $227,652 | $178,813 |
| 2022 | 284 | 1,505 | $2,806,641 | $173,058 | $135,897 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 609 | $79 | $62 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 211 | $119 | $93 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 149 | $133 | $101 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 115 | $94 | $73 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 88 | $174 | $136 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $95 | $74 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | $97 | $77 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 47 | $246 | $197 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | $131 | $103 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $174 | $112 |
| 99284 | Emergency department visit with moderate level of medical decision making | 30 | $120 | $91 |
| 43246 | Insertion of stomach tube using a flexible endoscope | 20 | $120 | $94 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 25MA07868700 | NJ |
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.