Physician
Monterey Bay Gi Consultants Medical Group INC.
Monterey Bay Gi Consultants Medical Group INC. was paid $2.22M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 23% of everything it billed.
33Billing provider infoMONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC.
MONTEREY, CA 93940
MONTEREY, CA 93940
33aNPI1154373280assigned 05/17/2006
33bProvider typeGastroenterology Physician
28Total paid$2.22M
24GClaims24,473
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#29 of 363
Median peer was paid$55K
This provider vs. median40×
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 | 2,845 | $237K | |
| 2019 | 2,540 | $210K | |
| 2020 | 2,616 | $229K | |
| 2021 | 2,820 | $257K | |
| 2022 | 3,813 | $336K | |
| 2023 | 4,665 | $409K | |
| 2024incomplete | 5,174 | $540K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 23% | 6,166 | 6,155 | $520K |
| 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% | 6,094 | 6,006 | $508K |
| 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 | 16% | 2,683 | 2,677 | $359K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.5% | 2,604 | 2,540 | $210K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 1,222 | 1,207 | $115K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.2% | 530 | 520 | $93K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.0% | 562 | 555 | $68K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.6% | 315 | 315 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 884 | 879 | $52K |
| 99205 | Prolong outpt/office vis | 2.0% | 281 | 281 | $44K |
| 00813 | 1.4% | 216 | 216 | $31K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.3% | 198 | 182 | $28K |
11 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 374 | $26K |
| 88313 | 1.1% | 471 | $25K | |
| 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) | 1.1% | 824 | $25K |
| 88312 | <1% | 460 | $20K | |
| 00731 | <1% | 113 | $13K | |
| 00811 | <1% | 96 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 64 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 69 | $5K |
| 99153 | Mod sedat endo service >5yrs | <1% | 183 | $3K |
| 43235 | <1% | 36 | $2K | |
| 91200 | <1% | 28 | $781.07 |
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 officialLUBA, DANIEL (MEDICAL DIRECTOR)