Physician
Mcallen Gastroenterology Clinic LP
Mcallen Gastroenterology Clinic LP was paid $138K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 29% of everything it billed.
33Billing provider infoMCALLEN GASTROENTEROLOGY CLINIC LP
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1356433379assigned 09/28/2006
33bProvider typeGastroenterology Physician
28Total paid$138K
24GClaims3,498
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Texas
Rank by total paid#11 of 91
Median peer was paid$8K
This provider vs. median18×
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 | 317 | $1K | |
| 2019 | 529 | $2K | |
| 2020 | 322 | $6K | |
| 2021 | 948 | $43K | |
| 2022 | 793 | $50K | |
| 2023 | 468 | $29K | |
| 2024incomplete | 121 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 29% | 658 | 631 | $40K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 24% | 316 | 289 | $33K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 14% | 324 | 316 | $20K |
| 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 | 11% | 558 | 501 | $16K |
| 88313 | 8.0% | 233 | 223 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 580 | 541 | $9K |
| 88342 | 6.4% | 197 | 189 | $9K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $672.87 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 606 | 587 | $0.00 |
| 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 | 0% | 14 | 14 | $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 officialOZCELEBI, FATIH (MANAGER)