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Atulkumar Thakorlal Shah, MD

Gastroenterology · Arlington

NPI 1194729152

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Texas Digestive Disease Consultants, PLLC · 616 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Shah’s office at (817) 394-4300 to ask if they take your plan before you enroll.

California Medical Board record

Licence C167727 · Current

Licensed to practise in California · since 2020 · expires 2028-01-31 · M. S. University of Baroda Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

  • Texas J1039Physician License · since 1992 · expires 2027-02-28
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$43,420

Medicare paid this office $43,420 for 239 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)92$11,493$98
New patient visit (60+ min)36$5,986$166
New patient visit (45+ min)41$5,197$127
Long return visit (40+ min)33$4,718$135
Biopsy of large bowel using a flexible endoscope30$4,218$141
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)92$11,493$98
New patient visit (60+ min)36$5,986$166
New patient visit (45+ min)41$5,197$127
Long return visit (40+ min)33$4,718$135
Biopsy of large bowel using a flexible endoscope30$4,218$141
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$3,291$235
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope33$3,021$92
Short return visit (20+ min)20$1,298$62
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's20$296$15
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 monito35$170$5

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy15More than 44% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux14More than 46% of doctors who do this

Who their Medicare patients are

239 Original Medicare patients in 2024. Average age 72 · Under 65 11% · 85 and older 7% · Women 59% · Also on Medicaid 41% · Health risk score 1.54. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 69% · Diabetes 40% · Chronic kidney disease 28% · Coronary heart disease 24% · Depression 21% · Cancer 20% · Heart failure 15% · Atrial fibrillation 15% · COPD 14% · Dementia 7% · Stroke 5%.

The office billed $315,364, Medicare allowed $56,220 and paid $43,420; for 410 services of 20 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024239410721.54$315,364$43,420
2023300481721.52$288,600$41,535
2022339542721.83$346,175$47,093
2021302532721.65$372,289$50,087
2020359567721.49$333,244$41,305
20196031,083721.43$468,557$91,663
20185841,070731.38$430,291$88,172
20175581,101721.20$465,153$85,728
20167111,458731.58$522,482$116,749
20156781,516731.42$409,402$128,294
20146571,450731.50$330,515$116,098
20136521,587731.48$383,570$119,444

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 10 services

Original Medicare services billed in 2023
Return visit (30+ min)121$10,910$77
New patient visit (45+ min)63$6,774$108
Removal of polyps or growths of large bowel using an endoscope with mechanical snare12$2,760$230
Biopsy of large bowel using a flexible endoscope21$2,643$126
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope25$2,639$101
Long return visit (40+ min)21$2,604$118
Short return visit (20+ min)41$2,342$53
New patient visit (30+ min)36$2,113$59
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes11$287$26
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 monito38$158$4

2022: 13 services

Original Medicare services billed in 2022
New patient visit (45+ min)76$8,444$111
Return visit (30+ min)86$7,759$78
Biopsy of large bowel using a flexible endoscope31$4,402$142
Short return visit (20+ min)64$3,588$51
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$3,002$214
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope22$2,295$96
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes23$2,129$89
Long return visit (40+ min)13$1,620$125
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,406$64
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,290$99
New patient visit (30+ min)18$1,141$63
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes11$319$29
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 monito52$195$4

2021: 11 services

Original Medicare services billed in 2021
Return visit (30+ min)104$11,655$86
New patient visit (45+ min)91$11,128$122
Biopsy of large bowel using a flexible endoscope29$3,597$124
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope38$3,249$86
Removal of polyps or growths of large bowel using an endoscope with mechanical snare12$2,755$230
Short return visit (20+ min)42$2,349$53
New patient visit (30+ min)33$2,163$66
Long return visit (40+ min)11$1,528$139
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$854$66
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes15$495$33
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 monito32$147$5

2020: 13 services

Original Medicare services billed in 2020
Return visit (30+ min)93$5,858$60
Short return visit (20+ min)123$4,566$34
New patient visit (45+ min)39$4,485$115
New patient visit (30+ min)61$3,480$57
Biopsy of large bowel using a flexible endoscope21$2,857$136
Colorectal cancer screening; colonoscopy on individual at high risk11$1,919$174
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope18$1,728$96
Long return visit (40+ min)16$1,549$97
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,302$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,287$68
Biopsy of large bowel using a flexible endoscope11$1,237$112
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope18$1,099$61
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 monito22$103$5

2019: 10 services

Original Medicare services billed in 2019
Short return visit (20+ min)312$17,326$49
Return visit (30+ min)190$16,782$76
Biopsy of large bowel using a flexible endoscope88$10,336$117
New patient visit (30+ min)121$8,749$72
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope106$7,735$72
Removal of polyps or growths of large bowel using an endoscope with mechanical snare35$6,641$184
New patient visit (45+ min)49$5,312$108
Colorectal cancer screening; colonoscopy on individual at high risk16$3,084$193
Diagnostic exam of large bowel using a flexible endoscope18$2,471$137
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk12$2,317$193

2018: 9 services

Original Medicare services billed in 2018
Short return visit (20+ min)319$18,389$50
Return visit (30+ min)171$14,568$74
Biopsy of large bowel using a flexible endoscope93$11,302$122
Removal of polyps or growths of large bowel using an endoscope with mechanical snare41$7,698$188
New patient visit (45+ min)58$7,223$125
New patient visit (30+ min)94$6,218$66
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope90$5,703$63
Colorectal cancer screening; colonoscopy on individual at high risk22$4,258$194
Diagnostic exam of large bowel using a flexible endoscope13$1,690$130

2017: 10 services

Original Medicare services billed in 2017
Short return visit (20+ min)315$18,216$48
Return visit (30+ min)162$14,117$74
Biopsy of large bowel using a flexible endoscope109$12,453$114
Removal of polyps or growths of large bowel using an endoscope with mechanical snare48$9,620$200
New patient visit (30+ min)133$8,703$65
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope91$6,140$67
Diagnostic exam of large bowel using a flexible endoscope30$3,317$111
New patient visit (45+ min)25$3,139$126
Colorectal cancer screening; colonoscopy on individual at high risk13$2,336$180
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,806$56

2016: 12 services

Original Medicare services billed in 2016
Short return visit (20+ min)359$20,196$50
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes122$12,797$57
Biopsy of large bowel using a flexible endoscope101$12,268$121
Return visit (30+ min)143$12,250$75
Removal of polyps or growths of large bowel using an endoscope with mechanical snare46$9,326$203
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope111$8,941$81
Initial hospital care with moderate level of medical decision making at least 75 minutes52$8,761$162
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes73$8,468$109
New patient visit (30+ min)113$7,107$63
Diagnostic exam of large bowel using a flexible endoscope51$6,471$127
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope25$2,338$94
New patient visit (45+ min)17$2,140$126

2015: 14 services

Original Medicare services billed in 2015
Return visit (30+ min)227$22,990$73
Short return visit (20+ min)319$18,345$51
Biopsy of large bowel using a flexible endoscope94$15,440$164
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes129$12,782$56
Removal of polyps or growths of large bowel using an endoscope with mechanical snare40$9,528$238
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes85$9,261$106
Initial hospital care with moderate level of medical decision making at least 75 minutes57$9,138$155
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope96$8,140$81
Diagnostic exam of large bowel using a flexible endoscope47$7,538$160
New patient visit (30+ min)63$4,333$68
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope24$2,113$85
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit13$1,393$107
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,257$84
Injection beneath lining of large bowel using a flexible endoscope14$655$47

2014: 13 services

Original Medicare services billed in 2014
Short return visit (20+ min)371$22,449$50
Return visit (30+ min)178$20,349$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes125$13,030$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes95$10,359$106
Biopsy of large bowel using a flexible endoscope64$10,228$160
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope81$7,282$86
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,555$160
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$4,907$164
Removal of polyps or growths of large bowel using an endoscope with mechanical snare18$4,400$244
Diagnostic exam of large bowel using a flexible endoscope24$3,741$156
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit25$2,805$112
New patient visit (30+ min)33$2,643$80
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,241$95

2013: 15 services

Original Medicare services billed in 2013
Short return visit (20+ min)402$31,947$52
Biopsy of large bowel using a flexible endoscope78$13,126$168
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes120$12,585$54
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope104$10,483$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes83$9,262$103
Removal of polyps or growths of large bowel using an endoscope with mechanical snare37$8,492$230
Initial hospital care with moderate level of medical decision making at least 75 minutes43$6,359$145
Diagnostic exam of large bowel using a flexible endoscope40$5,585$130
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit28$3,085$110
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope27$2,743$98
New patient visit (30+ min)41$2,713$66
Return visit (30+ min)30$2,571$80
Short return visit103$2,011$19
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,196$80
New patient visit (15+ min)25$870$35

Medicaid work

$23,666 in 2024

Medicaid paid $23,666 for 263 billed services this clinician did in 2024, up to 31 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Return visit (30+ min)146$12,208
Upper gastrointestinal endoscopy with biopsy24$6,053
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES26$2,499
TISSUE EXAM BY PATHOLOGIST41$1,615
Long return visit (40+ min)14$1,210
Fentanyl citrate injection12$80
Medicaid work by year
2024263631$23,666
2023289330$14,961
2022202619$11,026
2021412819$26,647
202047119$3,825
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)213$8,331
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES64$6,095
TISSUE EXAM BY PATHOLOGIST12$536

2022

Largest Medicaid services in 2022
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES70$6,249
Return visit (30+ min)78$3,055
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older15$1,215
Short return visit (20+ min)15$345
Injection, diphenhydramine hcl, up to 50 mg12$91
Injection, midazolam hydrochloride, per 1 mg12$71

2021

Largest Medicaid services in 2021
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES118$11,191
COLONOSCOPY AND BIOPSY26$4,636
Return visit (30+ min)97$3,945
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 monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)43$3,154
Upper gastrointestinal endoscopy with biopsy26$2,243
TISSUE EXAM BY PATHOLOGIST15$848
Fentanyl citrate injection44$355
Injection, midazolam hydrochloride, per 1 mg43$276

2020

Largest Medicaid services in 2020
New patient visit (30+ min)47$3,825

Drugs they prescribed that Part D paid

$83,699

Pharmacies billed $83,699 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 583) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

471 generic and 112 brand-name prescriptions · $83,699 in drug cost · 45 antibiotic prescriptions to 27 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Xifaxan15$33,490$2,233
Linzess21$16,624$792
Trulance21$11,500$548
Sucralfate34$1,805$53
Omeprazole159$1,314$8
See all 14 drugs
Every Part D drug this clinician prescribed
Xifaxan15$33,490$2,233
Linzess21$16,624$792
Trulance21$11,500$548
Sucralfate34$1,805$53
Omeprazole159$1,314$8
Peg 3350-Electrolyte50$1,096$22
Colestipol12$918$76
Famotidine73$880$12
Lubiprostone14$584$42
Pantoprazole57$496$9
Neomycin Sulfate15$318$21
Dicyclomine21$315$15
Gavilyte-G15$300$20
Nortriptyline11$63$6

Year by year

Part D prescribing by year
20245831890% (0)19%$83,699
20235351800% (0)None$97,662
20225162050% (0)None$103,351
20214791750% (0)None$103,081
20207742800% (0)None$100,404
20191,3143660% (0)None$247,938
20181,0232880% (0)None$222,255
20171,0173230% (0)None$432,863
20169432650% (0)None$180,379
20151,0412921% (15)None$459,286
20149932671% (13)None$329,624
2013828263NoneNone$101,672

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Xifaxan15$33,506$2,234
Linzess36$25,594$711
Motegrity14$13,230$945
Movantik11$5,615$510
Sucralfate35$3,700$106
Omeprazole148$1,398$9
Peg 3350-Electrolyte44$954$22
Dicyclomine25$777$31
Famotidine47$710$15
Gavilyte-G17$312$18
Pantoprazole36$267$7
Metronidazole19$181$10

2022: 12 drugs

Part D drugs prescribed in 2022
Creon14$35,722$2,552
Linzess31$20,544$663
Movantik15$8,967$598
Sucralfate48$8,077$168
Lubiprostone17$5,420$319
Peg 3350-Electrolyte76$1,579$21
Dicyclomine52$1,023$20
Omeprazole100$750$7
Famotidine25$287$11
Gavilyte-G13$217$17
Metronidazole13$180$14
Pantoprazole20$178$9

2021: 11 drugs

Part D drugs prescribed in 2021
Creon12$28,102$2,342
Linzess40$19,512$488
Movantik19$12,824$675
Sucralfate41$4,415$108
Suprep14$1,539$110
Omeprazole95$1,305$14
Dicyclomine44$824$19
Peg 3350-Electrolyte38$664$17
Pantoprazole26$420$16
Famotidine22$304$14
Metronidazole11$126$11

2020: 11 drugs

Part D drugs prescribed in 2020
Linzess22$10,109$459
Esomeprazole Magnesium46$4,345$94
Suprep30$3,097$103
Dicyclomine99$2,240$23
Pantoprazole149$2,217$15
Omeprazole200$2,203$11
Cholestyramine11$1,130$103
Sucralfate29$1,073$37
Famotidine38$498$13
Ranitidine13$195$15
Gavilyte-G14$172$12

2019: 18 drugs

Part D drugs prescribed in 2019
Apriso16$12,147$759
Suprep103$10,228$99
Linzess19$10,004$527
Mesalamine15$5,970$398
Esomeprazole Magnesium80$5,312$66
Omeprazole321$4,146$13
Budesonide Ec12$3,818$318
Creon15$3,759$251
Pantoprazole220$2,960$13
Dicyclomine180$2,753$15
Cholestyramine21$1,899$90
Sucralfate71$1,776$25
Ranitidine39$575$15
Rabeprazole12$332$28
Peg 3350-Electrolyte22$205$9
Metronidazole20$188$9
Famotidine25$169$7
Gavilyte-C13$122$9

2018: 16 drugs

Part D drugs prescribed in 2018
Esomeprazole Magnesium56$10,262$183
Apriso18$9,981$555
Linzess16$7,005$438
Delzicol16$7,004$438
Mesalamine16$6,985$437
Ursodiol13$6,794$523
Suprep63$5,826$92
Omeprazole250$2,623$10
Pantoprazole177$2,352$13
Dicyclomine140$1,371$10
Moviprep11$1,132$103
Sucralfate64$1,107$17
Metronidazole24$220$9
Ranitidine31$191$6
Famotidine28$136$5
Ciprofloxacin12$64$5

2017: 15 drugs

Part D drugs prescribed in 2017
Esomeprazole Magnesium60$10,241$171
Delzicol18$10,007$556
Suprep104$9,204$89
Ursodiol21$8,645$412
Dexilant19$5,187$273
Linzess12$4,850$404
Lialda12$3,209$267
Omeprazole191$2,594$14
Pantoprazole181$2,024$11
Sucralfate77$1,347$17
Rabeprazole12$1,112$93
Dicyclomine115$970$8
Lansoprazole14$786$56
Metronidazole26$256$10
Ranitidine21$189$9

2016: 13 drugs

Part D drugs prescribed in 2016
Esomeprazole Magnesium71$14,856$209
Delzicol13$8,122$625
Suprep94$7,883$84
Linzess17$6,637$390
Dexilant17$6,189$364
Omeprazole201$2,857$14
Cholestyramine20$1,666$83
Pantoprazole143$1,553$11
Lansoprazole22$1,317$60
Rabeprazole12$1,103$92
Sucralfate69$905$13
Dicyclomine89$885$10
Metronidazole12$103$9

2015: 20 drugs

Part D drugs prescribed in 2015
Nexium72$27,012$375
Delzicol13$12,254$943
Aciphex12$10,476$873
Suprep96$7,770$81
Esomeprazole Magnesium21$5,567$265
Linzess17$5,380$316
Apriso12$5,004$417
Ursodiol19$4,801$253
Omeprazole262$3,353$13
Lansoprazole34$2,418$71
Cholestyramine21$1,726$82
Pantoprazole117$1,485$13
Sucralfate77$1,445$19
Polyethylene Glycol 335012$696$58
Oxycodone13$445$34
Dicyclomine58$437$8
Metronidazole20$167$8
Metoclopramide15$104$7
Ranitidine11$90$8
Alprazolam12$69$6

2014: 12 drugs

Part D drugs prescribed in 2014
Nexium92$33,771$367
Delzicol13$10,137$780
Aciphex11$7,559$687
Suprep72$5,645$78
Ursodiol15$4,264$284
Omeprazole262$3,856$15
Lansoprazole33$2,127$64
Pantoprazole106$1,862$18
Sucralfate90$1,528$17
Dicyclomine60$383$6
Metronidazole27$259$10
Metoclopramide15$72$5

2013: 13 drugs

Part D drugs prescribed in 2013
Nexium79$27,596$349
Aciphex12$7,717$643
Delzicol11$6,158$560
Omeprazole265$5,240$20
Lansoprazole47$4,311$92
Suprep54$3,927$73
Carafate30$3,866$129
Pantoprazole75$1,527$20
Sucralfate49$1,114$23
Dicyclomine50$316$6
Peg 3350-Electrolyte19$211$11
Gavilyte-C12$167$14
Metronidazole15$150$10

Money from drug and device companies

$511 in 2025

Industry payments by year
202547None$511
201945None$381

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
MedtronicNone$432
3 payments
  • Travel · 2025-08-08 · $60
  • Travel · 2025-08-04 · $337
  • Travel · 2025-08-04 · $35
AbbvieSkyrizi$45
2 payments
  • Meals for Skyrizi · 2025-12-18 · $28
  • Meals for Rinvoq · 2025-09-03 · $17
Janssen BiotechTremfya$19
1 payment
  • Meals for Tremfya · 2025-10-09 · $19
Novo NordiskOzempic$16
1 payment
  • Meals for Ozempic · 2025-05-21 · $16
See all 7 published payments
Every published payment
AbbvieMeals · 2025-12-18Skyrizi$28
Janssen BiotechMeals · 2025-10-09Tremfya$19
AbbvieMeals · 2025-09-03Rinvoq$17
MedtronicTravel · 2025-08-08None$60
MedtronicTravel · 2025-08-04None$337
MedtronicTravel · 2025-08-04None$35
Novo NordiskMeals · 2025-05-21Ozempic$16
See earlier years (2019)

2019: $381

Payments by company in 2019
Intuitive SurgicalDa Vinci Surgical System$214
2 payments
  • Meals for Da Vinci Surgical System · 2019-07-17 · $170
  • Meals for Da Vinci Surgical System · 2019-07-09 · $43
PfizerXeljanz$125
1 payment
  • Meals for Xeljanz · 2019-05-20 · $125
Takeda Pharmaceuticals U.S.A.Entyvio$22
1 payment
  • Meals for Entyvio · 2019-02-22 · $22
Covidien LPChameleon$21
1 payment
  • Meals for Chameleon · 2019-12-03 · $21

Professional record

NPI
1194729152
Licence
CA C167727, TX J1039California C167727: Current · expires 2028-01-31Texas J1039: Active
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
TX 114957707
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X); Federal specialty code 207RI0008X (207RI0008X); Federal specialty code 207RT0003X (207RT0003X)
Mailing address
950 E State Highway 114 Ste 220, Southlake, TX, 76092
NPI first listed
2005-06-08
NPI last updated
2025-07-28
NPI record certified
2025-07-28

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305