Physician
Ironwood Gastroenterology PLLC
Ironwood Gastroenterology PLLC was paid $437K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 28% of everything it billed.
33Billing provider infoIRONWOOD GASTROENTEROLOGY PLLC
TUCSON, AZ 85745
TUCSON, AZ 85745
33aNPI1003031931assigned 04/16/2007
33bProvider typeGastroenterology Physician
28Total paid$437K
24GClaims5,687
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#19 of 63
Median peer was paid$93K
This provider vs. median4.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,233 | $340K | |
| 2019 | 1,013 | $69K | |
| 2024incomplete | 441 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 28% | 887 | 773 | $120K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 20% | 530 | 447 | $86K |
| 99243 | 18% | 907 | 858 | $77K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,105 | 1,828 | $63K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.7% | 173 | 148 | $29K |
| 43249 | 3.5% | 28 | 27 | $15K | |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 3.2% | 108 | 88 | $14K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 110 | 109 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 224 | 145 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.0% | 112 | 106 | $4K |
| 99253 | <1% | 46 | 38 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 362 | 306 | $3K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSAFDAR, RIZWAN (OWNER)