Capitol Gastroenterology Consultants Medical Group, INC.

Capitol Gastroenterology Consultants Medical Group, INC. was paid $5K by Medicaid between Jan 2018 and Aug 2021, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 38% of everything it billed.

33Billing provider infoCAPITOL GASTROENTEROLOGY CONSULTANTS MEDICAL GROUP, INC.
ROSEVILLE, CA 95661

33aNPI1013056779assigned 02/06/2007

33bProvider typeGastroenterology Physician

28Total paid$5K

24GClaims715

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#267 of 363

Median peer was paid$55K

This provider vs. median0.1×

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	432	$3K
2019	14	$36.02
2020	110	$1K
2021	159	$852.54

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	38%	69	69	$2K
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	29%	212	206	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	18%	68	67	$801.78
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.5%	41	41	$430.19
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	98	96	$184.29
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.6%	96	96	$72.04
83014		0%	30	30	$0.00
99244	Office or other outpatient consultation, moderate to high complexity	0%	34	34	$0.00
99245		0%	37	37	$0.00
83013		0%	30	30	$0.00

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 officialBAROWITZ, MAURICE (ACCOUNTANT)