Gi for Kids, PLLC

Gi for Kids, PLLC was paid $18.85M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoGI FOR KIDS, PLLC
KNOXVILLE, TN 37922

33aNPI1215392030assigned 12/21/2015

33bProvider typePediatric Gastroenterology Physician

28Total paid$18.85M

24GClaims273,296

24DCodes billed72

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Tennessee

Rank by total paid#1 of 13

Median peer was paid$76K

This provider vs. median247×

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	23,073	$1.46M
2019	30,732	$2.08M
2020	28,558	$1.77M
2021	46,674	$2.53M
2022	54,889	$3.22M
2023	53,838	$3.85M
2024incomplete	35,532	$3.93M

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	26%	65,863	59,369	$4.87M
45380	Colonoscopy, flexible; with biopsy, single or multiple	11%	8,076	7,182	$2.08M
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	9.7%	13,321	11,715	$1.83M
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	9.2%	14,482	13,334	$1.74M
95004	Percutaneous tests with allergenic extracts, immediate type reaction	7.4%	5,734	5,448	$1.40M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6.9%	698	570	$1.30M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.5%	20,874	19,397	$1.03M
J3380	Injection, vedolizumab, intravenous, 1 mg	3.8%	175	102	$709K
99205	Prolong outpt/office vis	2.0%	2,674	2,499	$380K
78268		2.0%	5,810	5,453	$373K
99244	Office or other outpatient consultation, moderate to high complexity	1.7%	2,317	2,037	$323K
76700	Ultrasound, abdominal, real time with image documentation; complete	1.6%	4,795	4,554	$308K

60 more codes

96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	1.4%	2,741	$273K
49452		1.3%	323	$240K
88305	Level IV - Surgical pathology, gross and microscopic examination	1.1%	1,161	$203K
99215	Doctor's office visit, returning patient (complex)	<1%	1,811	$177K
97802		<1%	2,811	$160K
99232	Hospital visit by a doctor, follow-up day	<1%	2,785	$140K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	17,366	$132K
74018		<1%	8,894	$130K
91035		<1%	275	$116K
97803		<1%	2,812	$109K
99203	Doctor's office visit, new patient (routine)	<1%	1,256	$103K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	1,341	$83K
96415		<1%	1,411	$69K
84443	Thyroid stimulating hormone (TSH)	<1%	3,345	$57K
99243		<1%	571	$56K
80076		<1%	7,982	$54K
85652		<1%	13,694	$54K
80048	Basic metabolic panel (calcium, ionized)	<1%	6,999	$48K
36415	Collection of venous blood by venipuncture	<1%	22,226	$45K
78267		<1%	5,810	$44K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,042	$31K
88342		<1%	1,108	$28K
84439		<1%	2,719	$22K
85730		<1%	3,036	$17K
86003		<1%	645	$15K
85610		<1%	3,040	$11K
99245		<1%	67	$10K
99402		<1%	184	$10K
91110		<1%	18	$10K
83516		<1%	540	$9K
91120		<1%	18	$7K
99253		<1%	70	$6K
86140		<1%	2,319	$6K
81025		<1%	718	$4K
43235		<1%	30	$4K
99239	Hospital discharge day management, more than 30 minutes	<1%	41	$3K
83690		<1%	739	$3K
82150		<1%	734	$3K
91122		<1%	18	$3K
76981		<1%	38	$3K
82785		<1%	360	$2K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	<1%	74	$2K
84436		<1%	1,156	$2K
99235		<1%	16	$2K
82784		<1%	252	$2K
80050	General health panel	<1%	148	$2K
80053	Comprehensive metabolic panel	<1%	485	$1K
82977		<1%	606	$1K
80305		<1%	103	$984.65
83735		<1%	159	$850.29
81003		<1%	348	$678.37
3008F		<1%	1,132	$456.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	27	$303.80
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	47	$277.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$221.97
84155		<1%	172	$200.10
82272		<1%	38	$127.79
82607		<1%	14	$49.82
36416		<1%	18	$32.44
99499		0%	571	$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 officialAL-TAWIL, YOUHANNA (OWNER)