GASTRO PHYSICIANS OF CALIFORNIA, INC.

NPI: 1053071241 · SACRAMENTO, CA 95821 · Gastroenterology Physician · NPI assigned 12/29/2021

$3K

Total Medicaid Paid

1,859

Total Claims

1,856

Beneficiaries

Codes Billed

2022-05

First Month

2023-07

Last Month

Provider Details

Authorized Official	DAVIDSON, JONATHAN (CEO)
NPI Enumeration Date	12/29/2021

Other providers sharing the same authorized official: DAVIDSON, JONATHAN

Provider	City	State	Total Paid
GASTRO CONSULTANTS OF MODESTO	MODESTO	CA	$1.05M
ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES,INC.	MODESTO	CA	$21K
ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES, INC	MODESTO	CA	$1K
GASTRO CONSULTANTS OF SACRAMENTO, INC.	SACRAMENTO	CA	$669.24

Year	Claims	Total Paid
2022	586	$256.24
2023	1,273	$3K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	967	965	$1K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	349	348	$1K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	150	150	$737.67
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	393	393	$273.00