Tucson Gastroenterology Institute, LLC

Tucson Gastroenterology Institute, LLC was paid $947K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 61% of everything it billed.

33Billing provider infoTUCSON GASTROENTEROLOGY INSTITUTE, LLC
TUCSON, AZ 85712

33aNPI1023015989assigned 07/06/2005

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$947K

24GClaims3,981

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Arizona

Rank by total paid#29 of 118

Median peer was paid$267K

This provider vs. median3.5×

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	880	$224K
2019	378	$87K
2020	283	$73K
2021	331	$82K
2022	637	$146K
2023	854	$189K
2024incomplete	618	$146K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	61%	2,400	2,277	$580K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	21%	833	791	$203K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	9.9%	456	441	$94K
45380	Colonoscopy, flexible; with biopsy, single or multiple	4.2%	165	153	$40K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	2.8%	102	98	$26K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	<1%	25	24	$4K

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 officialMCNERNEY, JOHN (MEDICAL DIRECTOR)