Active NPI 1154303949 Individual Practitioner Male Practitioner

Dr. Anil Kumar Sinha , MD

Surgery • Lake Jackson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anil Sinha, MD is a certified Surgery practicing in Lake Jackson, TX. With approximately 36 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1990, Dr. Sinha delivers high-quality medical care to the local community at 201 OAK DR S.

Dr. Sinha accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 Oak Dr S
Suite 203-B

Lake Jackson, TX 775665627

Telephone 9792852828

Fax 9792859155

Associated Practice Facility / Clinic

🏢 Brazosport Ear, Nose & Throat Clinic, Pa Facility NPI 1013998673

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lake Jackson, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +12.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Lake Jackson, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinha (36 Years) 36 Yrs

Lake Jackson Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	23	$215.00	$63.98
11042 Removal of skin and tissue, 20.0 sq cm or less	97	22	$388.00	$58.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	28	$369.00	$168.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$295.00	$164.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$215.00	$89.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$295.00	$129.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	23	$215.00	$65.24
11042 Removal of skin and tissue, 20.0 sq cm or less	50	20	$388.00	$58.80
99213 Established patient office or other outpatient visit, typically 15 minutes	45	24	$215.00	$89.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	25	$369.00	$171.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$295.00	$165.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	11	$265.00	$96.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$295.00	$131.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	34	$215.00	$67.12
11042 Removal of skin and tissue, 20.0 sq cm or less	91	25	$388.00	$60.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$295.00	$169.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	15	$265.00	$98.60
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$215.00	$91.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$369.00	$197.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	21	$265.00	$129.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$290.00	$183.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	28	$215.00	$68.36
11042 Removal of skin and tissue, 20.0 sq cm or less	110	23	$388.00	$60.45
99213 Established patient office or other outpatient visit, typically 15 minutes	62	36	$215.00	$90.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$295.00	$170.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	11	$67.54	$67.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$369.00	$201.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$290.00	$184.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$265.00	$132.51
47562 Removal of gallbladder using an endoscope	11	11	$3587.00	$659.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	34	$215.00	$52.25
11042 Removal of skin and tissue, 20.0 sq cm or less	121	37	$388.00	$62.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	119	23	$67.54	$67.17
99213 Established patient office or other outpatient visit, typically 15 minutes	106	53	$215.00	$66.55
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	87	18	$108.00	$27.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$295.00	$166.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	14	$67.54	$67.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$369.00	$205.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$265.00	$110.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	14	$265.00	$80.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$290.00	$148.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	13	$162.00	$132.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$240.00	$19.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$548.00	$120.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	34	$215.00	$51.36
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	16	$67.54	$66.50
11042 Removal of skin and tissue, 20.0 sq cm or less	82	29	$388.00	$62.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$295.00	$164.90
99213 Established patient office or other outpatient visit, typically 15 minutes	75	42	$215.00	$74.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	15	$265.00	$79.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$369.00	$203.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	13	$144.00	$73.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$548.00	$122.09
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	15	14	$788.00	$241.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$162.00	$130.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$290.00	$146.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$265.00	$108.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$162.00	$130.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	30	$215.00	$50.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$295.00	$160.29
11042 Removal of skin and tissue, 20.0 sq cm or less	73	31	$388.00	$59.87
99213 Established patient office or other outpatient visit, typically 15 minutes	71	44	$215.00	$70.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	58	$369.00	$198.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	12	$67.54	$66.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	21	$144.00	$71.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	17	$265.00	$76.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$265.00	$104.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	19	$240.00	$18.29
36565 Insertion of central venous catheters for infusion, two catheters in two veins	18	17	$2057.00	$329.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$281.00	$133.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$290.00	$141.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	34	$215.00	$49.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	95	13	$67.54	$66.49
99213 Established patient office or other outpatient visit, typically 15 minutes	84	39	$215.00	$70.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$295.00	$159.40
11042 Removal of skin and tissue, 20.0 sq cm or less	68	25	$388.00	$60.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	49	$369.00	$197.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	21	$144.00	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	16	$265.00	$75.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$266.30	$104.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$290.00	$140.69
37609 Tying or biopsy of temporal artery (side of skull)	11	11	$976.00	$204.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX K6784

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Laura Sinha , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1740458603

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2011

Registered at 201 OAK DR S, SUITE 203-B, LAKE JACKSON, TX 775665627 (Tel: 9792852828)

📍

Updated Business Mailing Address November 17, 2011

Registered at 201 OAK DR S, SUITE 203-B, LAKE JACKSON, TX 775665676 (Tel: 9792852828)

👤

Provider Name / Credentials Updated November 17, 2011

Recorded as ANIL SINHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Surgery (License #K6784 in TX)

🟢

Initial NPI Registration & Enumeration November 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154303949

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2005

Last Update: November 17, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

201 Oak Dr S, Suite 203-B

Lake Jackson, TX 775665676

Phone: 9792852828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.