Physician
Gastro-Digestive Medical Group
Gastro-Digestive Medical Group was paid $1.79M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 23% of everything it billed.
33Billing provider infoGASTRO-DIGESTIVE MEDICAL GROUP
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1255423976assigned 09/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.79M
24GClaims34,481
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#76 of 2,679
Median peer was paid$13K
This provider vs. median142×
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 | 2,724 | $91K | |
| 2019 | 5,007 | $234K | |
| 2020 | 4,523 | $226K | |
| 2021 | 6,889 | $343K | |
| 2022 | 5,155 | $388K | |
| 2023 | 4,447 | $288K | |
| 2024incomplete | 5,736 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 23% | 6,294 | 6,193 | $412K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 15,369 | 6,835 | $380K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 2,726 | 2,656 | $299K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 15% | 1,498 | 1,422 | $273K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 4,233 | 4,081 | $146K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.9% | 760 | 737 | $141K |
| 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 | 6.1% | 1,954 | 1,954 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 1,356 | 1,315 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 162 | 106 | $7K |
| 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 | <1% | 74 | 73 | $2K |
| 0528F | 0% | 40 | 35 | $0.00 | |
| 1036F | 0% | 15 | 15 | $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 officialOJHA, SUSHIL (PARTNER)