Active NPI 1215283429 Individual Practitioner Male Practitioner

Dr. Amit Agarwal , MD

Colon & Rectal Surgery • Sugar Land, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amit Agarwal, MD is a certified Colon & Rectal Surgery practicing in Sugar Land, TX. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Agarwal delivers high-quality medical care to the local community at 17510 W GRAND PKWY S.

Dr. Agarwal is affiliated with Ut Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17510 W Grand Pkwy S
Ste 190

Sugar Land, TX 774792645

Telephone 7134864742

Associated Practice Facility / Clinic

🏢 Memorial Hermann Surgery Center Sugar Land Llp Facility NPI 1952331092

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Sugar Land, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Sugar Land, TX (213 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (16 Years) 16 Yrs

Sugar Land Specialty Average (19.5 Years) 19.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	83	$317.00	$115.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$379.00	$151.99
46600 Diagnostic examination of the anus using an endoscope	68	58	$365.00	$98.17
45380 Biopsy of large bowel using an endoscope	21	21	$1318.00	$174.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	13	$359.00	$129.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$240.00	$107.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$379.00	$153.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	68	$317.00	$116.80
46600 Diagnostic examination of the anus using an endoscope	59	49	$365.00	$96.01
45380 Biopsy of large bowel using an endoscope	26	24	$1318.00	$172.47
49905 Repair of abdomen using abdominal lining graft	14	14	$1858.00	$323.45
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	11	11	$6653.00	$1345.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	65	$317.00	$116.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$379.00	$151.72
46600 Diagnostic examination of the anus using an endoscope	80	66	$365.00	$97.14
45380 Biopsy of large bowel using an endoscope	13	13	$1318.00	$131.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$379.00	$157.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	56	$317.00	$122.88
46600 Diagnostic examination of the anus using an endoscope	76	65	$365.00	$97.86
45380 Biopsy of large bowel using an endoscope	21	21	$1318.00	$133.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$373.67	$137.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	39	$230.00	$108.39
46600 Diagnostic examination of the anus using an endoscope	46	43	$365.00	$97.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$379.00	$162.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$479.00	$199.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$240.00	$105.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$379.00	$156.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	48	$230.00	$102.04
46600 Diagnostic examination of the anus using an endoscope	62	48	$365.00	$83.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$359.00	$138.53
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$267.00	$103.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	48	$218.87	$102.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$348.91	$160.73
46600 Diagnostic examination of the anus using an endoscope	45	38	$325.67	$77.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$104.90	$39.84
15860 Injection of agent into vein to assess blood flow of skin graft or flap	20	19	$556.55	$56.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$218.28	$105.58
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$237.22	$102.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$146.35	$73.98
49905 Repair of abdomen using abdominal lining graft	17	17	$1834.47	$355.20
45300 Diagnostic examination of rectum and large bowel using an endoscope	16	13	$272.50	$121.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$304.00	$137.14
45380 Biopsy of large bowel using an endoscope	12	12	$1263.00	$157.90
45300 Diagnostic examination of rectum and large bowel using an endoscope	12	11	$276.67	$25.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$330.00	$158.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	32	$143.00	$71.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	37	$103.00	$39.67
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$200.00	$101.49
46600 Diagnostic examination of the anus using an endoscope	43	39	$306.00	$84.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	29	$214.00	$105.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$271.00	$137.27
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$146.00	$72.66

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License TX Q0395

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

Ut Physicians

6414 Fannin St, Houston, TX 770301514

Phone: 7134867500

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Kalpesh Thakkar , MD

Pediatrics - Pediatric Gastroenterology

NPI 1013129089

Doctor of Medicine (M.D.)

Dr. Htut Win , MD

Internal Medicine - Cardiovascular Disease

NPI 1013183870

Doctor of Medicine (M.D.)

Dr. Robert Hillery , MD

Surgery

NPI 1093898587

Doctor of Medicine (M.D.)

Dr. Megan Kalambo , MD

Radiology - Diagnostic Radiology

NPI 1093990343

Doctor of Medicine (M.D.)

Dr. Surya Battu , MD

Pediatrics

NPI 1114081379

Doctor of Medicine (M.D.)

Danielle Kaeser , MS, LAT, ATC, CES

Specialist/Technologist - Athletic Trainer

NPI 1144840059

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer, CES

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2017

Registered at 17510 W GRAND PKWY S, STE 190, SUGAR LAND, TX 774792645 (Tel: 7134864742)

📍

Updated Business Mailing Address January 18, 2017

Registered at 17510 W GRAND PKWY S, STE 190, SUGAR LAND, TX 774792645 (Tel: 7134864742)

👤

Provider Name / Credentials Updated January 18, 2017

Recorded as AMIT AGARWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Colon & Rectal Surgery (License #Q0395 in TX)

✅

NPI Profile Active July 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2012

Registered at 6431 FANNIN ST, SUITE 4.331, HOUSTON, TX 770301501 (Tel: 7135007216)

📍

Updated Business Mailing Address July 25, 2012

Registered at 6431 FANNIN ST, SUITE 4.331, HOUSTON, TX 770301501 (Tel: 7135007216)

👤

Provider Name / Credentials Updated July 25, 2012

Recorded as AMIT AGARWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 25, 2012

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: 1215283429

Entity Type:

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

Enumeration Date: July 25, 2012

Last Update: January 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17510 W Grand Pkwy S, Ste 190

Sugar Land, TX 774792645

Phone: 7134864742

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.