Medicaid Provider Spending

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

TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC

NPI: 1306843842 · CRESTVIEW HILLS, KY 41017 · Gastroenterology Physician · NPI assigned 06/30/2005

$1.25M
Total Medicaid Paid
21,535
Total Claims
15,863
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFAGEL, DANIEL (PRESIDENT)
NPI Enumeration Date06/30/2005

Related Entities

Other providers sharing the same authorized official: FAGEL, DANIEL

ProviderCityStateTotal Paid
TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC CRESTVIEW HILLS KY $1.92M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,380 $209K
2019 3,432 $203K
2020 2,834 $169K
2021 4,201 $221K
2022 2,928 $181K
2023 2,364 $150K
2024 1,396 $121K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 7,196 5,251 $595K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,362 1,931 $183K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,734 2,450 $107K
99232 Subsequent hospital care, per day, moderate complexity 3,412 1,795 $79K
88312 1,642 1,161 $76K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 887 805 $72K
88313 1,357 922 $55K
99222 Initial hospital care, per day, moderate complexity 550 476 $31K
99254 173 154 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 488 430 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple 58 51 $7K
99221 201 171 $7K
43248 61 50 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 370 178 $6K
99253 26 26 $2K
43450 18 12 $182.93