PRAMOD MALIK, M.D.
Gastroenterology Physician · SUFFOLK, VA
Individual Active NPI 1902882954
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 894 | 1,548 | $925,249 | $270,306 | $209,892 |
| 2023 | 739 | 1,293 | $864,051 | $234,114 | $179,021 |
| 2022 | 729 | 1,344 | $812,880 | $218,351 | $167,723 |
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 | 235 | $124 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 210 | $88 | $65 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 162 | $157 | $111 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 151 | $163 | $129 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 137 | $379 | $308 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 76 | $200 | $156 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 62 | $108 | $70 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | $73 | $58 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 53 | $114 | $91 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 42 | $172 | $127 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 40 | $273 | $186 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 38 | $296 | $296 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 0101231641 | VA |
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.