Texas Gastroenterology Institute, PA

Texas Gastroenterology Institute, PA was paid $94K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoTEXAS GASTROENTEROLOGY INSTITUTE, PA
MCALLEN, TX 78503

33aNPI1194020453assigned 01/18/2011

33bProvider typeGastroenterology Physician

28Total paid$94K

24GClaims5,179

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#16 of 91

Median peer was paid$8K

This provider vs. median12×

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	720	$4K
2019	627	$3K
2020	314	$6K
2021	956	$19K
2022	1,695	$30K
2023	583	$21K
2024incomplete	284	$11K

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	39%	1,550	1,497	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	1,974	1,885	$30K
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	9.5%	148	148	$9K
99254		5.8%	51	50	$5K
99244	Office or other outpatient consultation, moderate to high complexity	4.3%	38	36	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	102	102	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.8%	90	57	$2K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.2%	39	39	$1K
99457		1.0%	70	68	$978.18
99243		1.0%	12	12	$944.31
99439		<1%	401	376	$513.23
99490	Ccm add 20min	<1%	496	470	$361.91

5 more codes

99454		<1%	44	$300.00
G2064	Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities	<1%	43	$265.00
99453		<1%	30	$207.51
CP003		<1%	12	$117.60
99221		<1%	79	$58.72

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 officialSALAZAR, LAURA (ADMINISTRATOR)