Medicaid Provider Spending

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

GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA

NPI: 1104934942 · HAGERSTOWN, MD 21742 · Specialist · NPI assigned 08/29/2006

$225K
Total Medicaid Paid
3,107
Total Claims
2,788
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBLIZZARD, STACEY (OFFICE MANAGER)
NPI Enumeration Date08/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 636 $43K
2019 409 $26K
2020 323 $25K
2021 894 $65K
2022 416 $35K
2023 296 $22K
2024 133 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,339 1,214 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 647 629 $42K
88305 Level IV - Surgical pathology, gross and microscopic examination 406 354 $31K
99244 Office or other outpatient consultation, moderate to high complexity 70 70 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 142 135 $10K
88342 120 83 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 57 55 $7K
99232 Subsequent hospital care, per day, moderate complexity 88 37 $4K
88313 104 82 $2K
99254 15 14 $2K
88312 16 13 $812.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 102 $0.00