Northwest Gastroenterology Professional LLC

Northwest Gastroenterology Professional LLC was paid $88K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoNORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC
BELLINGHAM, WA 98226

33aNPI1033278411assigned 12/08/2006

33bProvider typeGastroenterology Physician

28Total paid$88K

24GClaims1,685

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Washington

Rank by total paid#3 of 16

Median peer was paid$5K

This provider vs. median19×

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	213	$7K
2019	101	$5K
2020	12	$406.84
2021	151	$7K
2022	342	$21K
2023	620	$32K
2024incomplete	246	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	709	687	$35K
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	34%	378	373	$30K
88305	Level IV - Surgical pathology, gross and microscopic examination	20%	503	493	$17K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	3.8%	28	28	$3K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	1.5%	26	24	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	27	27	$973.15
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	14	13	$3.23

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 officialPERSSE, CHERYL (CHIEF ADMINISTRATIVE OFFICER)