Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUEFIELD GASTROENTEROLOGY PLLC

NPI: 1093869968 · PRINCETON, WV 24740 · Specialist · NPI assigned 01/22/2007

$4.02M
Total Medicaid Paid
50,902
Total Claims
46,214
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, KAMALESH (OWNER)
NPI Enumeration Date01/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,463 $1.08M
2019 5,568 $394K
2020 9,771 $939K
2021 9,162 $565K
2022 6,378 $376K
2023 4,557 $328K
2024 4,003 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,337 5,028 $928K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,418 4,664 $623K
88313 4,063 3,736 $493K
88312 4,065 3,734 $420K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,029 8,653 $364K
00731 2,667 2,532 $300K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,661 5,432 $131K
45384 390 358 $101K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,061 2,017 $82K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 392 321 $80K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,117 1,071 $72K
00811 537 508 $68K
99222 Initial hospital care, per day, moderate complexity 962 894 $61K
99232 Subsequent hospital care, per day, moderate complexity 1,485 714 $60K
91200 1,861 1,819 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete 576 563 $41K
99152 1,885 1,138 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 287 268 $30K
45380 Colonoscopy, flexible; with biopsy, single or multiple 95 93 $21K
00812 227 209 $17K
99205 Prolong outpt/office vis 113 107 $15K
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) 270 247 $8K
81025 801 712 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 60 $5K
43235 71 66 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 52 52 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 327 316 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $3K
82947 861 770 $2K
99153 Mod sedat endo service >5yrs 199 107 $449.19
82962 15 12 $44.25