Kern Gastroenterology Medical Group
Kern Gastroenterology Medical Group was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.
33Billing provider infoKERN GASTROENTEROLOGY MEDICAL GROUP
BAKERSFIELD, CA 93309
BAKERSFIELD, CA 93309
33aNPI1073602470assigned 10/12/2006
33bProvider typeSpecialist
28Total paid$3.25M
24GClaims34,682
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#76 of 1,230
Median peer was paid$51K
This provider vs. median63×
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 | 103 | $4K | |
| 2019 | 156 | $5K | |
| 2020 | 2,997 | $281K | |
| 2021 | 5,897 | $519K | |
| 2022 | 6,714 | $655K | |
| 2023 | 9,739 | $922K | |
| 2024incomplete | 9,076 | $861K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 5,794 | 5,722 | $1.13M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 14% | 1,707 | 1,687 | $465K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 11,090 | 11,014 | $418K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 7.9% | 3,747 | 3,607 | $257K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 4,256 | 4,244 | $255K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.3% | 823 | 811 | $206K |
| 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 | 6.1% | 2,042 | 2,040 | $199K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.2% | 362 | 354 | $105K |
| 99243 | 2.5% | 1,160 | 1,154 | $80K | |
| 88312 | 2.2% | 2,199 | 2,183 | $72K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 533 | 533 | $41K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 817 | 815 | $10K |
1 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 152 | $6K |
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 officialOSBURN, MARY (OFFICE MANAGER)