Austin Gastroenterology, PLLC

Austin Gastroenterology, PLLC was paid $13K by Medicaid between Jul 2018 and Aug 2024, across 4 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 55% of everything it billed.

33Billing provider infoAUSTIN GASTROENTEROLOGY, PLLC
AUSTIN, TX 78758

33aNPI1316998016assigned 05/15/2006

33bProvider typeGastroenterology Physician

28Total paid$13K

24GClaims274

24DCodes billed4

24AFirst – last monthJul 2018 – Aug 2024

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#37 of 91

Median peer was paid$8K

This provider vs. median1.7×

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	29	$267.42
2019	13	$186.30
2020	22	$762.13
2021	67	$3K
2022	27	$2K
2023	15	$541.90
2024incomplete	101	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	55%	129	119	$7K
99223	Prolong inpt eval add15 m	33%	68	66	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.8%	51	28	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	4.1%	26	25	$542.73

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 officialCOMBS, STEPHANIE (MANAGER)