Gastroenterology Center of Laredo, PA
Gastroenterology Center of Laredo, PA was paid $14K by Medicaid between Jan 2018 and Aug 2021, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CENTER OF LAREDO, PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1336365766assigned 04/17/2007
33bProvider typeSpecialist
28Total paid$14K
24GClaims7,713
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#228 of 382
Median peer was paid$29K
This provider vs. median0.5×
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 | 2,786 | $4K | |
| 2019 | 3,579 | $5K | |
| 2020 | 1,201 | $4K | |
| 2021 | 147 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 555 | 531 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 616 | 607 | $6K |
| 99223 | Prolong inpt eval add15 m | 6.3% | 157 | 154 | $857.79 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 28 | 15 | $361.03 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 33 | 27 | $74.90 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 22 | 18 | $69.50 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 568 | 548 | $0.00 |
| 1111F | 0% | 82 | 80 | $0.00 | |
| 1036F | 0% | 1,295 | 1,252 | $0.00 | |
| 3017F | 0% | 264 | 249 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 129 | 127 | $0.00 |
| G9612 | Photodocumentation of two or more cecal landmarks to establish a complete examination | 0% | 14 | 14 | $0.00 |
8 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 426 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 399 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 25 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,435 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 903 | $0.00 |
| 4040F | 0% | 628 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 122 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
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 officialGALAN, ANTHONY (OWNER)