Physician
Southwest Gastroenterology LLC
Southwest Gastroenterology LLC was paid $949K by Medicaid between May 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoSOUTHWEST GASTROENTEROLOGY LLC
AVONDALE, AZ 85392
AVONDALE, AZ 85392
33aNPI1356871123assigned 06/14/2017
33bProvider typeGastroenterology Physician
28Total paid$949K
24GClaims11,784
24DCodes billed13
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#9 of 63
Median peer was paid$93K
This provider vs. median10×
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 | 326 | $24K | |
| 2019 | 1,016 | $75K | |
| 2020 | 891 | $70K | |
| 2021 | 1,627 | $139K | |
| 2022 | 2,615 | $206K | |
| 2023 | 2,869 | $245K | |
| 2024incomplete | 2,440 | $190K |
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 | 35% | 5,483 | 5,363 | $332K |
| 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 | 31% | 3,275 | 3,218 | $293K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 14% | 1,609 | 1,546 | $137K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 608 | 581 | $117K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 112 | 105 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 236 | 231 | $14K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 115 | 114 | $11K |
| 88313 | <1% | 45 | 45 | $8K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 49 | 49 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 120 | 118 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 56 | 53 | $4K |
| 88312 | <1% | 46 | 46 | $4K |
1 more codes
| 99443 | <1% | 30 | $2K |
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 officialANAPARTHY, RAJESWARI (PROPRIETOR)