Medicaid Provider Spending

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

TRI COUNTY GASTROENTEROLOGY PC

NPI: 1265740492 · SOUTH HILL, VA 23970 · Specialist · NPI assigned 09/22/2010

$48K
Total Medicaid Paid
3,247
Total Claims
2,523
Beneficiaries
11
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialALLEN, HERBERT (PRESIDENT)
NPI Enumeration Date09/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,160 $7K
2019 1,814 $35K
2020 273 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 235 194 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 337 260 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 211 174 $5K
43235 114 93 $4K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1,030 793 $2K
99153 Mod sedat endo service >5yrs 692 557 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 20 15 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 17 13 $574.99
1036F 110 83 $0.00
G9612 Photodocumentation of two or more cecal landmarks to establish a complete examination 164 114 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 317 227 $0.00