Physician
Adult Gastroenterology, P.L.L.C.
Adult Gastroenterology, P.L.L.C. was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoADULT GASTROENTEROLOGY, P.L.L.C.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
33aNPI1104019413assigned 08/20/2007
33bProvider typeGastroenterology Physician
28Total paid$1.71M
24GClaims18,863
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#6 of 63
Median peer was paid$93K
This provider vs. median18×
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 | 2,168 | $165K | |
| 2019 | 2,346 | $191K | |
| 2020 | 2,266 | $194K | |
| 2021 | 2,923 | $279K | |
| 2022 | 2,708 | $255K | |
| 2023 | 3,130 | $307K | |
| 2024incomplete | 3,322 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 5,978 | 5,751 | $392K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 2,465 | 2,403 | $252K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 1,340 | 1,291 | $193K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 1,252 | 1,238 | $180K |
| 99243 | 9.9% | 1,708 | 1,686 | $169K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.0% | 691 | 684 | $137K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.5% | 2,235 | 2,190 | $129K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.9% | 775 | 753 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 1,290 | 1,266 | $66K |
| 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 | 1.9% | 457 | 446 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 505 | 207 | $25K |
| 99254 | <1% | 89 | 89 | $12K |
1 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $3K |
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 officialZYADEH, NADIM (PRESIDENT)