Medicaid Provider Spending

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

TEXAS GASTROENTEROLOGY INSTITUTE, PA

NPI: 1194020453 · MCALLEN, TX 78503 · Gastroenterology Physician

$94K
Total Medicaid Paid
5,179
Total Claims
4,945
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 720 $4K
2019 627 $3K
2020 314 $6K
2021 956 $19K
2022 1,695 $30K
2023 583 $21K
2024 284 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,550 1,497 $37K
99213 1,974 1,885 $30K
99204 148 148 $9K
99254 51 50 $5K
99244 38 36 $4K
99203 102 102 $2K
99233 Prolong inpt eval add15 m 90 57 $2K
43239 39 39 $1K
99457 70 68 $978.18
99243 12 12 $944.31
99439 401 376 $513.23
99490 Ccm add 20min 496 470 $361.91
99454 44 43 $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 43 43 $265.00
99453 30 29 $207.51
CP003 12 12 $117.60
99221 79 78 $58.72