Physician
Washington Gastroenterology PLLC
Washington Gastroenterology PLLC was paid $5.12M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 36% of everything it billed.
33Billing provider infoWASHINGTON GASTROENTEROLOGY PLLC
TACOMA, WA 98405
TACOMA, WA 98405
33aNPI1306364401assigned 09/08/2017
33bProvider typeAnesthesiology Physician
28Total paid$5.12M
24GClaims52,768
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Washington
Rank by total paid#4 of 64
Median peer was paid$86K
This provider vs. median59×
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 | 8,742 | $1.03M | |
| 2019 | 7,503 | $817K | |
| 2020 | 5,223 | $405K | |
| 2021 | 8,630 | $713K | |
| 2022 | 7,792 | $786K | |
| 2023 | 7,671 | $791K | |
| 2024incomplete | 7,207 | $573K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 36% | 18,167 | 17,815 | $1.82M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 20% | 398 | 262 | $1.05M |
| 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 | 8.3% | 7,603 | 7,276 | $427K |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 7.8% | 65 | 57 | $399K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 7,132 | 6,825 | $299K |
| 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 | 3.9% | 2,151 | 2,080 | $199K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.3% | 2,727 | 2,660 | $171K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.4% | 1,561 | 1,379 | $125K |
| 00731 | 2.1% | 920 | 836 | $108K | |
| 88342 | 1.8% | 1,457 | 1,291 | $92K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 1,314 | 1,278 | $90K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.5% | 2,994 | 2,261 | $79K |
18 more codes
| 00811 | 1.5% | 806 | $78K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 649 | $64K |
| Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | <1% | 15 | $30K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 683 | $29K |
| 99254 | <1% | 132 | $16K | |
| 96415 | <1% | 357 | $10K | |
| 80053 | Comprehensive metabolic panel | <1% | 669 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,006 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 613 | $6K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 36 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 59 | $4K |
| 99253 | <1% | 40 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $778.58 |
| 99221 | <1% | 13 | $719.86 | |
| 83516 | <1% | 54 | $669.95 | |
| 86140 | <1% | 91 | $632.93 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 30 | $16.12 |
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 officialKATSMAN, RALPH (PRESIDENT)