PRANITH PERERA, M.D.
Gastroenterology Physician · PORTSMOUTH, RI
Individual Active NPI 1831361591
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 240 | 528 | $428,062 | $70,755 | $55,713 |
| 2023 | 329 | 1,458 | $504,971 | $94,627 | $75,421 |
| 2022 | 350 | 2,362 | $595,132 | $146,379 | $115,933 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 63 | $53 | $39 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 46 | $6 | $4 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 42 | $241 | $201 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 37 | $99 | $74 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | $257 | $194 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 29 | $23 | $18 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 29 | $129 | $96 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $92 | $70 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 24 | $93 | $67 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | $221 | $177 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $104 | $83 |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | $195 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD14326 | RI |
| Internal Medicine Physician | 207R00000X | MD14326 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Gastroenterology Physician providers in Rhode Island →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.