Physician
North Valley G.I. Consultants
North Valley G.I. Consultants was paid $795K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 33% of everything it billed.
33Billing provider infoNORTH VALLEY G.I. CONSULTANTS
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
33aNPI1093987539assigned 03/25/2008
33bProvider typeGastroenterology Physician
28Total paid$795K
24GClaims17,791
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#62 of 363
Median peer was paid$55K
This provider vs. median15×
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 | 2,210 | $64K | |
| 2019 | 2,490 | $125K | |
| 2020 | 2,946 | $159K | |
| 2021 | 3,033 | $160K | |
| 2022 | 2,209 | $113K | |
| 2023 | 2,474 | $113K | |
| 2024incomplete | 2,429 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 33% | 4,570 | 4,412 | $264K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 4,860 | 2,226 | $186K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 1,652 | 1,628 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 4,565 | 4,351 | $126K |
| 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 | 8.6% | 1,671 | 1,670 | $68K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 98 | 98 | $15K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 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) | <1% | 161 | 159 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 29 | 28 | $1K |
| 43246 | <1% | 13 | 13 | $773.68 |
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 officialPATEL, MAHENDRA (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Doctors General Laboratory Corp | Clarendon Hills, IL | $8.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.