Physician
Gastroenterology Clinic, a Professional Medical Corporation
Gastroenterology Clinic, a Professional Medical Corporation was paid $1.52M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 42% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
MONROE, LA 71201
MONROE, LA 71201
33aNPI1366442642assigned 07/28/2005
33bProvider typeGastroenterology Physician
28Total paid$1.52M
24GClaims25,515
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Louisiana
Rank by total paid#4 of 33
Median peer was paid$83K
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 | 3,168 | $198K | |
| 2019 | 3,114 | $154K | |
| 2020 | 2,455 | $138K | |
| 2021 | 3,465 | $206K | |
| 2022 | 4,310 | $276K | |
| 2023 | 5,058 | $317K | |
| 2024incomplete | 3,945 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 42% | 5,868 | 5,358 | $635K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 30% | 2,271 | 2,127 | $458K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.9% | 2,864 | 2,468 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 2,072 | 1,962 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 3,220 | 2,993 | $51K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.9% | 340 | 304 | $45K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.3% | 2,729 | 2,530 | $35K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.1% | 3,325 | 2,107 | $33K |
| 43235 | 1.8% | 310 | 294 | $27K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.7% | 133 | 130 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 539 | 484 | $22K |
| 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 | 1.1% | 253 | 248 | $16K |
8 more codes
| 43450 | <1% | 470 | $12K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 369 | $9K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 213 | $4K |
| 88312 | <1% | 445 | $4K | |
| 45384 | <1% | 26 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $769.86 |
| 99152 | <1% | 14 | $44.25 |
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 officialWALDO, ANDREW (ADMINISTRATOR)