Medicaid Provider Spending

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

SAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC.

NPI: 1265982375 · REDLANDS, CA 92373 · Gastroenterology Physician · NPI assigned 10/12/2016

$7.88M
Total Medicaid Paid
95,147
Total Claims
88,060
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALASUBRAMANIAM, KUMARARVELU (OWNER)
NPI Enumeration Date10/12/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,692 $161K
2019 11,257 $866K
2020 13,262 $1.02M
2021 14,921 $1.22M
2022 12,634 $1.05M
2023 19,199 $1.60M
2024 21,182 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,137 5,096 $1.00M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,492 2,478 $932K
99233 Prolong inpt eval add15 m 19,668 13,671 $889K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,951 2,940 $853K
99070 7,572 7,490 $776K
99152 14,798 14,273 $616K
99255 5,757 5,687 $544K
99215 Prolong outpt/office vis 6,678 6,641 $453K
99245 3,485 3,477 $415K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,333 1,323 $361K
99205 Prolong outpt/office vis 3,616 3,616 $322K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,588 1,587 $167K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,314 2,282 $134K
99153 Mod sedat endo service >5yrs 9,994 9,850 $110K
99451 2,231 2,215 $77K
43235 353 344 $66K
99244 Office or other outpatient consultation, moderate to high complexity 630 624 $48K
99223 Prolong inpt eval add15 m 476 474 $27K
00731 237 229 $17K
88313 195 192 $14K
99222 Initial hospital care, per day, moderate complexity 239 232 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 196 193 $11K
00811 180 176 $11K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 370 352 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 47 44 $5K
99232 Subsequent hospital care, per day, moderate complexity 93 78 $4K
00812 71 71 $3K
88312 16 16 $524.69
3017F 1,239 1,230 $0.23
1036F 395 392 $0.14
G9903 Patient screened for tobacco use and identified as a tobacco non-user 227 224 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 159 157 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 410 406 $0.00