SHANKAR GHIMIRE, M.D.
Family Medicine Physician · FREMONT, CA
Individual Active NPI 1851693378
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 665 | 4,276 | $899,035 | $548,712 | $433,606 |
| 2023 | 424 | 2,599 | $376,946 | $335,549 | $266,821 |
| 2022 | 355 | 3,074 | $434,703 | $359,069 | $285,455 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,186 | $124 | $98 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 412 | $206 | $164 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 386 | $86 | $67 |
| 99497 | Advance care planning, first 30 minutes | 92 | $84 | $67 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 84 | $148 | $117 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 53 | $176 | $140 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 42 | $93 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | A114532 | 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.