Associated Gastroenterology Medical Group
Associated Gastroenterology Medical Group was paid $1.28M by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 23% of everything it billed.
33Billing provider infoASSOCIATED GASTROENTEROLOGY MEDICAL GROUP
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1326044967assigned 06/27/2005
33bProvider typeSpecialist
28Total paid$1.28M
24GClaims23,208
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#158 of 1,230
Median peer was paid$51K
This provider vs. median25×
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 | 4,302 | $371K | |
| 2019 | 3,113 | $293K | |
| 2020 | 1,853 | $84K | |
| 2021 | 3,421 | $73K | |
| 2022 | 3,484 | $96K | |
| 2023 | 4,168 | $255K | |
| 2024incomplete | 2,867 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 23% | 1,554 | 1,541 | $296K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 19% | 2,141 | 2,115 | $242K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 17% | 1,019 | 1,009 | $216K |
| 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 | 13% | 4,375 | 4,370 | $165K |
| 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 | 7.9% | 5,784 | 5,653 | $101K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 871 | 855 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 1,846 | 1,779 | $44K |
| 44361 | 2.7% | 288 | 282 | $35K | |
| 99152 | 1.7% | 461 | 456 | $22K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 1,107 | 631 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 542 | 329 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 215 | 215 | $15K |
11 more codes
| 99223 | Prolong inpt eval add15 m | 1.1% | 259 | $14K |
| 99221 | <1% | 823 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 535 | $8K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 28 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 618 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 193 | $6K |
| 99153 | Mod sedat endo service >5yrs | <1% | 418 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $3K |
| 87045 | <1% | 12 | $49.92 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $30.00 |
| 87046 | <1% | 12 | $15.68 |
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 officialHALL, TERI (OFFICE MANAGER)