Internal Medicine, Gastroenterology · Fort Worth, TX
NPI
1831172725
Since 2005
Specialty
Internal Medicine, Gastroenterology
Code 207RG0100X
Group practices
1
Medicare group memberships
Hospitals
1
Hospital affiliations
1250 8th Ave, Suite 515
Fort Worth, TX, 76104
Phone (817) 922-4675
Groups this clinician bills Medicare through
Medicare paid, 2024
$65K
909 services
Medicare patients, 2024
232
Average age 71
Drug cost, 2024
$765K
1,131 prescriptions
Company payments, 2025
$719
From 6 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Manjushree Gautam was code 99233 (hospital e&m - subsequent), 178 times for 52 patients. In total Manjushree Gautam billed 909 services in 28 codes, and Medicare paid $65K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2015-07-21.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99233 Hospital E&M - Subsequent | Facility | 178 | 52 | $90.03 | $16K |
| G2211 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's | Office | 175 | 123 | $12.52 | $2,190 |
| 99214 Office E&M - Established | Office | 120 | 89 | $87.47 | $10K |
| 36415 Venipuncture Blood Collection | Office | 79 | 52 | $8.65 | $683 |
| 99215 Office E&M - Established | Office | 64 | 51 | $125.51 | $8,033 |
| 99232 Hospital E&M - Subsequent | Facility | 61 | 38 | $60.32 | $3,679 |
| 99223 Hospital E&M - Initial | Facility | 37 | 32 | $133.76 | $4,949 |
| 99291 Critical Care E&M | Facility | 31 | 11 | $164.73 | $5,107 |
| 99204 Office E&M - New | Office | 27 | 27 | $111.15 | $3,001 |
| 76981 Ultrasound - Nonspecific | Office | 22 | 22 | $80.20 | $1,764 |
| 99222 Hospital E&M - Initial | Facility | 13 | 13 | $101.11 | $1,314 |
| 99213 Office E&M - Established | Office | 12 | 12 | $58.00 | $696 |
| 43235 Upper GI Endoscopy | Facility | 11 | 11 | $87.09 | $958 |
By year: 2022 $60K for 717 services; 2023 $65K for 779 services; 2024 $65K for 909 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 79 | 52 | $8.65 | $683 |
Medicare prescription drug claims, 2024
In 2024, the drug Manjushree Gautam prescribed most often to Medicare patients was Tacrolimus, with 159 prescriptions and refills. In total Manjushree Gautam wrote 1,131 Medicare prescriptions that cost $765K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Tacrolimus Generic | 159 | 230 | 25 | $12K |
| Xifaxan Rifaximin | 142 | 146 | 19 | $465K |
| Ursodiol Generic | 133 | 194 | 26 | $16K |
| Azathioprine Generic | 77 | 147 | 17 | $2,132 |
| Spironolactone Generic | 68 | 143 | 23 | $822 |
| Lactulose Generic | 66 | 95 | 21 | $1,214 |
| Furosemide Generic | 64 | 128 | 23 | $320 |
| Mycophenolate Mofetil Generic | 35 | 65 | Under 11 | $3,007 |
| Mycophenolic Acid Mycophenolate Sodium | 32 | 46 | Under 11 | $8,055 |
| Pantoprazole Sodium Generic | 30 | 67 | Under 11 | $343 |
| Constulose Lactulose | 30 | 33 | Under 11 | $802 |
| Sirolimus Generic | 27 | 57 | Under 11 | $9,341 |
| Folic Acid Generic | 23 | 45 | Under 11 | $99.79 |
| Amiloride Hcl Generic | 22 | 42 | Under 11 | $335 |
| Carvedilol Generic | 18 | 25 | Under 11 | $45.27 |
Brand drugs: - claims; generic drugs: 920 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Manjushree Gautam $719 ($719 in general payments such as food, travel and fees) from 6 companies. The largest payer was Gilead Sciences, Inc. with $371.
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.