Medicaid Provider Spending

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

AGA CLINICAL SERVICES, LLC

NPI: 1295193399 · ATLANTA, GA 30342 · Gastroenterology Physician · NPI assigned 02/03/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HERNANDEZ, JORGE controls 11+ related entities in our dataset. Read more

$3K
Total Medicaid Paid
7,134
Total Claims
3,697
Beneficiaries
11
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialHERNANDEZ, JORGE (VP ADMIN. SERVICES/CCO)
NPI Enumeration Date02/03/2016

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, JORGE

ProviderCityStateTotal Paid
GWINNETT PHYSICIAN GROUP, LLC LAWRENCEVILLE GA $8.28M
NORTH ATLANTA PROFESSIONAL SERVICES LLC ATLANTA GA $849K
GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC ATLANTA GA $709K
WALMART #2067 MAYAGUEZ PR $98K
WALMART #2501 BAYAMON PR $59K
WALMART #2085 ISABELA PR $37K
PULMONARY MEDICINE ASSOCIATES, P.A. OCOEE FL $4K
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC ATLANTA GA $3K
JORGE L HERNANDEZ MD PA BRADENTON FL $3K
WALMART #1854 HATILLO PR $999.90
NORTHSIDE HOSPITAL, INC. ATLANTA GA $953.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,268 $0.00
2019 3,777 $3K
2020 1,089 $434.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 156 70 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 33 12 $655.93
1036F 852 441 $0.00
3017F 1,009 518 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 893 468 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,100 580 $0.00
G8482 Influenza immunization administered or previously received 1,009 518 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,023 541 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,007 517 $0.00
G8484 Influenza immunization was not administered, reason not given 27 17 $0.00