Delta Gastroenterology P.C.
Delta Gastroenterology P.C. was paid $908K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoDELTA GASTROENTEROLOGY P.C.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1285789677assigned 01/24/2007
33bProvider typeSpecialist
28Total paid$908K
24GClaims37,384
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Mississippi
Rank by total paid#10 of 103
Median peer was paid$86K
This provider vs. median11×
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 | 5,619 | $183K | |
| 2019 | 4,956 | $172K | |
| 2020 | 5,225 | $146K | |
| 2021 | 8,775 | $193K | |
| 2022 | 7,073 | $105K | |
| 2023 | 3,907 | $76K | |
| 2024incomplete | 1,829 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 11,452 | 8,319 | $295K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 14% | 1,449 | 1,047 | $124K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 1,315 | 935 | $101K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.8% | 1,702 | 1,294 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 2,942 | 2,158 | $49K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 5.1% | 1,289 | 931 | $46K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.0% | 2,091 | 514 | $45K |
| 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 | 4.5% | 887 | 671 | $41K |
| 88313 | 3.2% | 398 | 297 | $29K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 837 | 618 | $27K |
| 88312 | 2.7% | 404 | 290 | $24K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 556 | 394 | $16K |
20 more codes
| 99490 | Ccm add 20min | 1.6% | 3,843 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 855 | $10K |
| 99439 | <1% | 3,088 | $6K | |
| 99454 | <1% | 1,142 | $5K | |
| 91200 | <1% | 1,082 | $4K | |
| 76981 | <1% | 461 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 74 | $2K |
| 99443 | <1% | 115 | $1K | |
| 99457 | <1% | 476 | $1K | |
| 95923 | <1% | 20 | $829.85 | |
| 93922 | <1% | 20 | $487.39 | |
| 95921 | <1% | 20 | $441.03 | |
| 99401 | <1% | 26 | $241.47 | |
| 99487 | Ccm add 20min | <1% | 20 | $98.39 |
| 00731 | <1% | 14 | $97.75 | |
| 99453 | <1% | 37 | $91.82 | |
| 00811 | <1% | 13 | $90.90 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 125 | $77.76 |
| 99489 | Ccm add 20min | <1% | 20 | $3.95 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 611 | $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 officialDUNCAN, ULRIC (GASTROENTEROLOGIST)
| Provider | Location | Paid |
|---|---|---|
| Delta Endoscopy Center, P.C. | Southaven, MS | $217K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.