ANTARA POTHULOORI, MD
Obstetrics & Gynecology Physician · OMAHA, NE
Individual Active NPI 1710131305
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 33 | 77 | $22,703 | $6,617 | $5,590 |
| 2023 | 32 | 79 | $17,030 | $4,986 | $3,947 |
| 2022 | 28 | 123 | $18,634 | $5,315 | $4,480 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 16 | $22 | $22 |
| 77067 | Screening mammography | 16 | $82 | $82 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 11 | $83 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ✓ | 25791 | NE |
| Obstetrics & Gynecology Physician | 207V00000X | A104060 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 50575 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | 47814 | KY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Obstetrics & Gynecology Physician providers in Nebraska
- NPI 1437312824
- NPI 1609908078
- NPI 1023423928
- NPI 1053154716
- NPI 1053155382
- NPI 1902650393
- NPI 1689014912
- NPI 1730252297
See all Obstetrics & Gynecology Physician providers in Nebraska →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.