Physician
Gastro Care Institute
Gastro Care Institute was paid $3.52M by Medicaid between Jan 2019 and Nov 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 24% of everything it billed.
33Billing provider infoGASTRO CARE INSTITUTE
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1326514746assigned 10/23/2018
33bProvider typeGastroenterology Physician
28Total paid$3.52M
24GClaims53,015
24DCodes billed20
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#19 of 363
Median peer was paid$55K
This provider vs. median64×
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 | |
|---|---|---|---|
| 2019 | 4,597 | $207K | |
| 2020 | 6,049 | $333K | |
| 2021 | 8,789 | $601K | |
| 2022 | 9,354 | $641K | |
| 2023 | 11,565 | $828K | |
| 2024incomplete | 12,661 | $914K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 7,874 | 7,816 | $832K |
| 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 | 11% | 5,726 | 5,725 | $403K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.8% | 1,528 | 1,524 | $345K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.9% | 2,054 | 2,046 | $315K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.4% | 9,012 | 4,784 | $297K |
| 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 | 6.5% | 5,457 | 5,324 | $228K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 7,801 | 7,681 | $223K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.8% | 1,092 | 1,088 | $203K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 2,796 | 2,747 | $163K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 4,279 | 2,530 | $159K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.7% | 1,206 | 1,167 | $129K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 1,841 | 1,792 | $127K |
8 more codes
| 88313 | 1.1% | 749 | $41K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 632 | $27K |
| 88312 | <1% | 747 | $24K | |
| 43249 | <1% | 29 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 81 | $2K |
| 99221 | <1% | 83 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $854.08 |
| 43450 | <1% | 14 | $295.30 |
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 officialTYAGI, VIVAIK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Apollo Surgery Center LLC | Lancaster, CA | $649K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.