SANDIP MATHUR, M.D.
Gastroenterology Physician · ABILENE, TX
Individual Active NPI 1972549632
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 753 | 1,808 | $1,496,917 | $225,201 | $175,984 |
| 2023 | 755 | 1,686 | $1,366,299 | $216,328 | $168,274 |
| 2022 | 665 | 1,464 | $836,662 | $185,447 | $134,973 |
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 | 338 | $120 | $83 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 249 | $87 | $66 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 225 | $153 | $127 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 188 | $75 | $58 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 109 | $235 | $196 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 100 | $112 | $89 |
| 43450 | Dilation of esophagus | 85 | $37 | $28 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 54 | $162 | $128 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 49 | $171 | $171 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | $122 | $98 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $159 | $107 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 | $86 | $58 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | J7076 | TX |
| Specialist | 174400000X | J7076 | TX |
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.