Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Monterey Park › NPI 1013048461
Clinic

Gastroenterology Diagnostic Center Medical Group, a Professional

Gastroenterology Diagnostic Center Medical Group, a Professional was paid $6.73M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.

33Billing provider infoGASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL
MONTEREY PARK, CA 91754
33aNPI1013048461assigned 03/08/2007
28Total paid$6.73M
24GClaims64,426
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in California

Rank by total paid#20 of 347
Median peer was paid$191K
This provider vs. median35×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201811,407$1.00M
201910,735$848K
202013,175$738K
20218,547$827K
20226,733$694K
20238,366$1.06M
2024incomplete5,463$1.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 34% 9,644 9,328 $2.32M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29% 6,946 6,747 $1.95M
45380 Colonoscopy, flexible; with biopsy, single or multiple 22% 4,654 4,502 $1.50M
0490 7.1% 11,567 3,663 $478K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3.0% 626 615 $204K
0360 1.7% 1,188 1,040 $114K
0160 <1% 1,204 1,056 $46K
93040 <1% 4,936 4,355 $36K
94664 <1% 4,935 4,361 $33K
45381 <1% 94 94 $21K
0710 <1% 1,207 1,057 $21K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 576 559 $10K
6 more codes
Z7506 <1% 27 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 129 $472.76
Z7514 <1% 27 $448.36
Z7512 <1% 27 $200.42
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis <1% 8,323 $135.33
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility <1% 8,316 $84.56

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 officialIBARRA, FERNANDO (AUTHORIZED OFFICIAL)
Same official

Other billing entities under IBARRA, FERNANDO

Full network →
ProviderLocationPaid
Fernando Ibarra M D INCMonterey Park, CA$4.35M
Femah INC a California CorporationMonterey Park, CA$614K
Gastroenterology Medical of Los Angeles INCMonterey Park, CA$381K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.