Medicaid Provider Spending

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

SOUTHERN GASTROENTEROLOGY ASSOCIATES PC

NPI: 1376659870 · SOUTH BOSTON, VA 24592 · Specialist · NPI assigned 08/21/2006

$887K
Total Medicaid Paid
16,172
Total Claims
14,491
Beneficiaries
15
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPALMER, NICOLE (PRACTICE MANAGER)
NPI Enumeration Date08/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,257 $24K
2019 2,375 $87K
2020 1,962 $103K
2021 2,723 $161K
2022 3,072 $183K
2023 2,788 $197K
2024 1,995 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,931 4,319 $273K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,419 4,907 $224K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,292 1,220 $121K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,931 1,682 $115K
45380 Colonoscopy, flexible; with biopsy, single or multiple 610 563 $62K
99215 Prolong outpt/office vis 478 440 $43K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 105 96 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 197 190 $12K
43249 139 122 $9K
44377 27 26 $6K
99205 Prolong outpt/office vis 25 24 $3K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 696 613 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16 15 $2K
99152 219 194 $2K
99442 87 80 $834.64