Medicaid Provider Spending

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

GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION

NPI: 1366442642 · MONROE, LA 71201 · Gastroenterology Physician · NPI assigned 07/28/2005

$1.52M
Total Medicaid Paid
25,515
Total Claims
22,447
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWALDO, ANDREW (ADMINISTRATOR)
NPI Enumeration Date07/28/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,168 $198K
2019 3,114 $154K
2020 2,455 $138K
2021 3,465 $206K
2022 4,310 $276K
2023 5,058 $317K
2024 3,945 $233K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,868 5,358 $635K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,271 2,127 $458K
99222 Initial hospital care, per day, moderate complexity 2,864 2,468 $74K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,072 1,962 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,220 2,993 $51K
45380 Colonoscopy, flexible; with biopsy, single or multiple 340 304 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,729 2,530 $35K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,325 2,107 $33K
43235 310 294 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 133 130 $25K
99233 Prolong inpt eval add15 m 539 484 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 253 248 $16K
43450 470 439 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 369 345 $9K
99232 Subsequent hospital care, per day, moderate complexity 213 163 $4K
88312 445 418 $4K
45384 26 25 $3K
99223 Prolong inpt eval add15 m 27 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 26 $769.86
99152 14 13 $44.25