Physician
Gastro Consultants of Modesto
Gastro Consultants of Modesto was paid $1.05M by Medicaid between Jan 2018 and Jul 2023, across 5 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 48% of everything it billed.
33Billing provider infoGASTRO CONSULTANTS OF MODESTO
MODESTO, CA 95356
MODESTO, CA 95356
33aNPI1225452725assigned 02/05/2014
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$1.05M
24GClaims4,398
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in California
Rank by total paid#6 of 35
Median peer was paid$30K
This provider vs. median35×
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 | 1,029 | $343K | |
| 2019 | 847 | $284K | |
| 2020 | 637 | $134K | |
| 2021 | 593 | $78K | |
| 2022 | 669 | $85K | |
| 2023 | 623 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 48% | 973 | 960 | $508K |
| 95811 | 35% | 686 | 638 | $368K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 1,325 | 1,321 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 1,374 | 1,342 | $51K |
| 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 | <1% | 40 | 40 | $4K |
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 officialDAVIDSON, JONATHAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Advanced Sleep and Gastroenterology Laboratories,inc. | Modesto, CA | $21K |
| Gastro Physicians of California, INC. | Sacramento, CA | $3K |
| Advanced Sleep and Gastroenterology Laboratories, INC | Modesto, CA | $1K |
| Gastro Consultants of Sacramento, INC. | Sacramento, CA | $669.24 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.