Internal Medicine, Gastroenterology · Burnt Hills, NY
NPI
1316122823
Since 2008
Specialty
Internal Medicine, Gastroenterology
Code 207RG0100X
Group practices
1
Medicare group memberships
Hospitals
3
Hospital affiliations
848 Route 50
Burnt Hills, NY, 12027
Phone (518) 831-1500
Groups this clinician bills Medicare through
Medicare paid, 2024
$210K
8,672 services
Medicare patients, 2024
328
Average age 73
Drug cost, 2024
$997K
1,701 prescriptions
Company payments, 2023
$14.05
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Mark J Metwally was code J3380 (injection, vedolizumab, intravenous, 1 mg), 6,000 times for 12 patients. In total Mark J Metwally billed 8,672 services in 44 codes, and Medicare paid $210K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2025-02-03.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| J3380 Injection, vedolizumab, intravenous, 1 mg | Office | 6,000 | 12 | $17.30 | $104K |
| J1745 Injection, infliximab, excludes biosimilar, 10 mg | Office | 1,630 | 11 | $24.97 | $41K |
| 99215 Office E&M - Established | Office | 105 | 77 | $118.80 | $12K |
| 99214 Office E&M - Established | Office | 88 | 81 | $76.27 | $6,712 |
| 45380 Lower GI Endoscopy - Other | Facility | 84 | 84 | $87.58 | $7,357 |
| 43239 Upper GI Endoscopy | Facility | 57 | 56 | $86.78 | $4,947 |
| 45385 Colonoscopy - Lesion Removal | Facility | 45 | 45 | $179.30 | $8,069 |
| 96413 Chemotherapy Administration | Office | 30 | 15 | $89.12 | $2,674 |
| 96415 Chemotherapy Administration | Office | 28 | 13 | $19.21 | $538 |
| 99223 Hospital E&M - Initial | Facility | 20 | 20 | $121.52 | $2,430 |
| G0105 Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 20 | 17 | $141.27 | $2,825 |
| 96365 Intravenous Infusion, Hydration | Office | 19 | 12 | $43.11 | $819 |
By year: 2022 $505K for 24,714 services; 2023 $568K for 27,392 services; 2024 $210K for 8,672 services.
Lab tests billed to Medicare, 2022
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 87635 COVID Specific | 31 | 29 | $50.55 | $1,567 |
Medicare prescription drug claims, 2024
In 2024, the drug Mark J Metwally prescribed most often to Medicare patients was Omeprazole, with 409 prescriptions and refills. In total Mark J Metwally wrote 1,701 Medicare prescriptions that cost $997K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Omeprazole Generic | 409 | 877 | 111 | $5,944 |
| Famotidine Generic | 227 | 469 | 50 | $3,034 |
| Pantoprazole Sodium Generic | 189 | 365 | 52 | $2,443 |
| Mesalamine Generic | 92 | 193 | 24 | $63K |
| Lansoprazole Generic | 45 | 79 | 13 | $4,309 |
| Linzess Linaclotide | 43 | 73 | 11 | $38K |
| Balsalazide Disodium Generic | 41 | 85 | 12 | $7,163 |
| Esomeprazole Magnesium Generic | 36 | 62 | Under 11 | $4,438 |
| Creon Lipase/Protease/Amylase | 35 | 53 | Under 11 | $49K |
| Ursodiol Generic | 25 | 53 | Under 11 | $4,900 |
| Sucralfate Generic | 25 | 44 | 11 | $6,112 |
| Sulfasalazine Generic | 24 | 56 | Under 11 | $752 |
| Spironolactone Generic | 24 | 24 | Under 11 | $286 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 23 | 23 | Under 11 | $1,295 |
| Hydrocortisone Generic | 21 | 29 | Under 11 | $3,983 |
Brand drugs: - claims; generic drugs: 1,431 claims.
Money and other things of value reported by the companies
In 2023, drug and medical device companies paid Mark J Metwally $14.05 ($14.05 in general payments such as food, travel and fees) from 1 company. The largest payer was Abbvie Inc. with $14.05.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 1 | $14.05 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.