SHIMA GHAVIMI, M.D.
Gastroenterology Physician · WATERLOO, IA
Individual Active NPI 1811316458
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 314 | 681 | $701,383 | $95,997 | $76,193 |
| 2023 | 195 | 326 | $207,292 | $42,879 | $34,057 |
| 2022 | 123 | 224 | $55,395 | $26,450 | $20,489 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 117 | $123 | $92 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 102 | $237 | $199 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 101 | $98 | $77 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 93 | $160 | $115 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | $92 | $74 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | $125 | $101 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 23 | $144 | $108 |
| 76705 | Limited ultrasound scan of abdomen | 13 | $56 | $38 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 12 | $160 | $160 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $91 | $73 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD-50743 | IA |
| Hepatology Physician | 207RI0008X | 29355 | WV | |
| Hepatology Physician | 207RI0008X | MD-50743 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 25MA10563700 | NJ | |
| Internal Medicine Physician | 207R00000X | 29355 | WV | |
| Gastroenterology Physician | 207RG0100X | 25MA10563700 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA10563700 | NJ | |
| Gastroenterology Physician | 207RG0100X | 29355 | WV |
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.