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Provider profile

KULKARNI, KETAN MD

Gastroenterology · NPI 1710994231 · LANCASTER, PA

2
Groups
22
Codes · 2024
6,634
Disclosed services

KULKARNI, KETAN is a Gastroenterology in LANCASTER, PA, a member of 2 medical groups, who billed 22 distinct codes to Medicare Part B in 2024.

Groups: LANCASTER GENERAL HOSPITAL (LANCASTER, PA) · REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (LANCASTER, PA) — member of 2 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Year: 2024 · 2023 · 2022 🔒 · 2021 🔒 · 2020 🔒

Provider overview · all codes · CY2024

6,634
disclosed services
22
codes billed to Medicare Part B
Prior year · CY2023 775 disclosed services

This provider's disclosed Medicare payments across all codes were in CY2024.

Dollars, place-of-service mix, business mix and national standing are part of the market analytics platform — built, not launched yet. Notify me at launch →

All figures are disclosed (CMS suppresses fewer-than-11-beneficiary rows) Medicare Part B fee-for-service — a subset, never complete totals; volumes are personal to this NPI, not attributed to any group. Standing is a billed-volume position among specialty peers with disclosed billing (national percentile; a provider's true standing can only be higher, never lower), not a statement about care. See Methods & Sources.

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
This provider's Medicare volumes — services, beneficiary-episodes, and charges — are part of the market analytics platform — built, not launched yet. Notify me at launch →
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J3380 Injection, vedolizumab, intravenous, 1 mg
J1745 Injection, infliximab, excludes biosimilar, 10 mg
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
45380 Biopsy of large bowel using a flexible endoscope
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
43242 Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
74328 Review by radiologist of image from tube placement into bile duct using an endoscope
43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
43259 Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
96413 Administration of chemotherapy into vein, 1 hour or less
96415 Administration of chemotherapy into vein, each additional hour
43274 Insertion of stent into pancreatic or bile duct using a flexible endoscope
45378 Diagnostic exam of large bowel using a flexible endoscope

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.