Southwest Gastoenterology PA

Southwest Gastoenterology PA was paid $14K by Medicaid between Jan 2018 and Jun 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoSOUTHWEST GASTOENTEROLOGY PA
SEGUIN, TX 78155

33aNPI1043337074assigned 03/23/2007

33bProvider typeGastroenterology Physician

28Total paid$14K

24GClaims1,022

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#36 of 91

Median peer was paid$8K

This provider vs. median1.9×

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	212	$554.43
2019	178	$652.19
2020	122	$1K
2021	246	$5K
2022	175	$5K
2023	47	$874.13
2024incomplete	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	995	933	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.9%	13	13	$563.14
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	14	14	$124.47

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 officialTSEN, TONY (PRESIDENT)