Physician
Gastroenterology Consultants of Laredo, PA
Gastroenterology Consultants of Laredo, PA was paid $220K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CONSULTANTS OF LAREDO, PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1154486108assigned 12/27/2006
33bProvider typeGastroenterology Physician
28Total paid$220K
24GClaims14,118
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Texas
Rank by total paid#6 of 91
Median peer was paid$8K
This provider vs. median29×
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 | 1,689 | $21K | |
| 2019 | 1,635 | $16K | |
| 2020 | 1,991 | $22K | |
| 2021 | 2,769 | $41K | |
| 2022 | 2,991 | $58K | |
| 2023 | 1,938 | $38K | |
| 2024incomplete | 1,105 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 5,568 | 5,432 | $54K |
| 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 | 21% | 1,588 | 1,574 | $46K |
| 99223 | Prolong inpt eval add15 m | 15% | 936 | 896 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 2,718 | 1,398 | $33K |
| 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 | 14% | 2,024 | 1,988 | $31K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.6% | 277 | 264 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.3% | 364 | 346 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 158 | 152 | $5K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 302 | 277 | $2K |
| 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% | 109 | 103 | $92.69 |
| 88312 | <1% | 28 | 25 | $84.15 | |
| 88313 | <1% | 28 | 25 | $18.27 |
1 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 18 | $0.00 |
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 officialCANALES, ELSA (PRESIDENT)