Physician
North Valley Gastroenterology Medical Group, INC
North Valley Gastroenterology Medical Group, INC was paid $20K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 45% of everything it billed.
33Billing provider infoNORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP, INC
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1265840920assigned 07/25/2014
33bProvider typeGastroenterology Physician
28Total paid$20K
24GClaims5,784
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#222 of 363
Median peer was paid$55K
This provider vs. median0.4×
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 | 2,466 | $1K | |
| 2019 | 448 | $2K | |
| 2020 | 426 | $2K | |
| 2021 | 542 | $2K | |
| 2022 | 370 | $2K | |
| 2023 | 708 | $8K | |
| 2024incomplete | 824 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 45% | 374 | 372 | $9K |
| 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 | 16% | 691 | 678 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 575 | 569 | $3K |
| 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) | 9.5% | 1,872 | 1,835 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 7.1% | 41 | 41 | $1K |
| 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 | 2.0% | 70 | 70 | $397.69 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 53 | 53 | $285.85 |
| 99153 | Mod sedat endo service >5yrs | 1.4% | 173 | 170 | $279.12 |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 26 | 25 | $245.47 |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 12 | 12 | $219.60 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 82 | 65 | $56.66 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 31 | 31 | $0.48 |
7 more codes
| 1124F | 0% | 325 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 706 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 130 | $0.00 |
| 4004F | 0% | 37 | $0.00 | |
| 1036F | 0% | 457 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 99 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 30 | $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 officialWOOD, ROSE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Eyecare Professionals P C | Hagerstown, MD | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.