Southwest Gastroenterology Associates PLLC

Southwest Gastroenterology Associates PLLC was paid $290K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 28% of everything it billed.

33Billing provider infoSOUTHWEST GASTROENTEROLOGY ASSOCIATES PLLC
OKLAHOMA CITY, OK 73139

33aNPI1306111448assigned 03/21/2012

33bProvider typeGastroenterology Physician

28Total paid$290K

24GClaims3,347

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Oklahoma

Rank by total paid#4 of 13

Median peer was paid$146K

This provider vs. median2.0×

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	54	$2K
2019	53	$3K
2020	42	$2K
2021	218	$17K
2022	1,139	$96K
2023	1,172	$110K
2024incomplete	669	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	28%	624	624	$81K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	1,002	989	$62K
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	17%	520	517	$48K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	16%	724	723	$48K
45380	Colonoscopy, flexible; with biopsy, single or multiple	9.9%	187	187	$29K
43248		3.8%	131	131	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	52	52	$4K
99223	Prolong inpt eval add15 m	1.0%	25	25	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.0%	70	39	$3K
46500		<1%	12	12	$835.32

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 officialKURELLA, RAVINDER (OWNER)