Gastroenterology Consultants, LTD
Gastroenterology Consultants, LTD was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CONSULTANTS, LTD
RENO, NV 89502
RENO, NV 89502
33aNPI1144218512assigned 10/11/2005
33bProvider typeSpecialist
28Total paid$1.36M
24GClaims18,024
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Nevada
Rank by total paid#11 of 98
Median peer was paid$76K
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 | 2,106 | $115K | |
| 2019 | 3,605 | $278K | |
| 2020 | 3,332 | $259K | |
| 2021 | 3,716 | $315K | |
| 2022 | 2,671 | $214K | |
| 2023 | 1,496 | $88K | |
| 2024incomplete | 1,098 | $89K |
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 | 33% | 6,044 | 5,661 | $450K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 33% | 6,305 | 5,583 | $442K |
| 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 | 14% | 1,396 | 1,286 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 2,660 | 2,522 | $110K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.2% | 476 | 436 | $43K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 229 | 207 | $34K |
| 00731 | 1.7% | 241 | 214 | $24K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.6% | 89 | 78 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 92 | 89 | $9K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 55 | 41 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 31 | 31 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 84 | 28 | $5K |
9 more codes
| 00812 | <1% | 41 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 44 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $2K |
| 76981 | <1% | 15 | $2K | |
| 00813 | <1% | 13 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 103 | $71.19 |
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 officialOSGARD, ERIC (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Reno Endoscopy Center, LLC | Reno, NV | $475K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.