Medicaid Provider Spending

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

SPRINGS GASTROENTEROLOGY, PLLC

NPI: 1285783092 · COLORADO SPRINGS, CO 80907 · Gastroenterology Physician · NPI assigned 01/10/2007

$199K
Total Medicaid Paid
2,527
Total Claims
2,219
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHOR, JAMES (CHIEF OPERATING OFFICER)
NPI Enumeration Date01/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 274 $21K
2019 301 $25K
2020 287 $21K
2021 672 $50K
2022 649 $55K
2023 252 $20K
2024 92 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,218 1,134 $101K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 277 266 $35K
99232 Subsequent hospital care, per day, moderate complexity 498 318 $22K
99222 Initial hospital care, per day, moderate complexity 241 223 $19K
44361 96 91 $12K
99215 Prolong outpt/office vis 27 27 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 79 78 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 38 $2K
99233 Prolong inpt eval add15 m 17 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 36 31 $901.48