Physician
The Gastro Group, INC.
The Gastro Group, INC. was paid $5.30M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 17% of everything it billed.
33Billing provider infoTHE GASTRO GROUP, INC.
VICTORVILLE, CA 92395
VICTORVILLE, CA 92395
33aNPI1316247521assigned 10/22/2010
33bProvider typeGastroenterology Physician
28Total paid$5.30M
24GClaims49,089
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#8 of 363
Median peer was paid$55K
This provider vs. median97×
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 | 3,684 | $363K | |
| 2019 | 6,370 | $606K | |
| 2020 | 5,624 | $610K | |
| 2021 | 6,898 | $777K | |
| 2022 | 6,710 | $753K | |
| 2023 | 10,318 | $1.08M | |
| 2024incomplete | 9,485 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 17% | 7,113 | 6,912 | $905K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 10,001 | 5,075 | $873K |
| 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 | 15% | 5,355 | 5,249 | $814K |
| 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 | 13% | 6,622 | 6,499 | $707K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 4,989 | 4,873 | $491K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.7% | 3,784 | 3,759 | $460K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 6,396 | 6,161 | $440K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.8% | 1,720 | 1,709 | $305K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.7% | 703 | 701 | $141K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.0% | 806 | 800 | $106K |
| 76981 | <1% | 219 | 219 | $22K | |
| 99205 | Prolong outpt/office vis | <1% | 46 | 44 | $10K |
6 more codes
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 officialBISWAS, ARNAB (OWNER, ASSOCIATE)