Puget Sound Gastroenterology, PLLC
Puget Sound Gastroenterology, PLLC was paid $115K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 75% of everything it billed.
EDMONDS, WA 98026
Next to other Gastroenterology Physician providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 401 | $28K | |
| 2019 | 221 | $13K | |
| 2020 | 165 | $14K | |
| 2021 | 190 | $14K | |
| 2022 | 365 | $25K | |
| 2023 | 278 | $16K | |
| 2024incomplete | 91 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 75% | 1,240 | 1,179 | $87K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 14% | 233 | 225 | $16K |
| 88312 | 8.4% | 163 | 161 | $10K | |
| 88313 | 1.1% | 26 | 26 | $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 | 1.0% | 32 | 26 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 17 | 14 | $397.16 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.