San Bernardino Gastroenterology Associates INC.

San Bernardino Gastroenterology Associates INC. was paid $7.88M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 13% of everything it billed.

33Billing provider infoSAN BERNARDINO GASTROENTEROLOGY ASSOCIATES INC.
REDLANDS, CA 92373

33aNPI1265982375assigned 10/12/2016

33bProvider typeGastroenterology Physician

28Total paid$7.88M

24GClaims95,147

24DCodes billed33

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#3 of 363

Median peer was paid$55K

This provider vs. median144×

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	2,692	$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
2024incomplete	21,182	$1.96M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	5,137	5,096	$1.00M
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	12%	2,492	2,478	$932K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	19,668	13,671	$889K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	11%	2,951	2,940	$853K
99070		9.8%	7,572	7,490	$776K
99152		7.8%	14,798	14,273	$616K
99255		6.9%	5,757	5,687	$544K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.8%	6,678	6,641	$453K
99245		5.3%	3,485	3,477	$415K
45380	Colonoscopy, flexible; with biopsy, single or multiple	4.6%	1,333	1,323	$361K
99205	Prolong outpt/office vis	4.1%	3,616	3,616	$322K
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	2.1%	1,588	1,587	$167K

21 more codes

99214	Doctor's office visit, returning patient (more involved)	1.7%	2,314	$134K
99153	Mod sedat endo service >5yrs	1.4%	9,994	$110K
99451		<1%	2,231	$77K
43235		<1%	353	$66K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	630	$48K
99223	Prolong inpt eval add15 m	<1%	476	$27K
00731		<1%	237	$17K
88313		<1%	195	$14K
99222	Initial hospital care, per day, moderate complexity	<1%	239	$14K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	196	$11K
00811		<1%	180	$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	<1%	370	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	47	$5K
99232	Hospital visit by a doctor, follow-up day	<1%	93	$4K
00812		<1%	71	$3K
88312		<1%	16	$524.69
3017F		<1%	1,239	$0.23
1036F		<1%	395	$0.14
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	227	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	159	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	410	$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 officialBALASUBRAMANIAM, KUMARARVELU (OWNER)