Medicaid Provider Spending

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

NORTH VALLEY G.I. CONSULTANTS

NPI: 1093987539 · SIMI VALLEY, CA 93065 · Gastroenterology Physician · NPI assigned 03/25/2008

$795K
Total Medicaid Paid
17,791
Total Claims
14,677
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPATEL, MAHENDRA (MANAGING PARTNER)
NPI Enumeration Date03/25/2008

Related Entities

Other providers sharing the same authorized official: PATEL, MAHENDRA

ProviderCityStateTotal Paid
DOCTORS GENERAL LABORATORY CORP CLARENDON HILLS IL $8.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,210 $64K
2019 2,490 $125K
2020 2,946 $159K
2021 3,033 $160K
2022 2,209 $113K
2023 2,474 $113K
2024 2,429 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 4,570 4,412 $264K
99233 Prolong inpt eval add15 m 4,860 2,226 $186K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,652 1,628 $129K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,565 4,351 $126K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,671 1,670 $68K
45380 Colonoscopy, flexible; with biopsy, single or multiple 98 98 $15K
99232 Subsequent hospital care, per day, moderate complexity 172 92 $4K
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) 161 159 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 28 $1K
43246 13 13 $773.68