Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTROENTEROLOGY CENTER OF LAREDO, PA

NPI: 1336365766 · LAREDO, TX 78041 · Specialist · NPI assigned 04/17/2007

$14K
Total Medicaid Paid
7,713
Total Claims
7,435
Beneficiaries
20
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGALAN, ANTHONY (OWNER)
NPI Enumeration Date04/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,786 $4K
2019 3,579 $5K
2020 1,201 $4K
2021 147 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 555 531 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 616 607 $6K
99223 Prolong inpt eval add15 m 157 154 $857.79
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 28 15 $361.03
99231 Subsequent hospital care, per day, straightforward or low complexity 33 27 $74.90
99232 Subsequent hospital care, per day, moderate complexity 22 18 $69.50
G8420 Bmi is documented within normal parameters and no follow-up plan is required 568 548 $0.00
1111F 82 80 $0.00
1036F 1,295 1,252 $0.00
3017F 264 249 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 129 127 $0.00
G9612 Photodocumentation of two or more cecal landmarks to establish a complete examination 14 14 $0.00
G8482 Influenza immunization administered or previously received 426 414 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 399 386 $0.00
G8484 Influenza immunization was not administered, reason not given 25 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,435 1,385 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 903 870 $0.00
4040F 628 604 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 122 118 $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) 12 12 $0.00