Pediatric Gastroenterology Consulants, PA

Pediatric Gastroenterology Consulants, PA was paid $752K by Medicaid between Jan 2020 and Dec 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.

33Billing provider infoPEDIATRIC GASTROENTEROLOGY CONSULANTS, PA
BEAUMONT, TX 77701

33aNPI1386687762assigned 06/14/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$752K

24GClaims9,543

24DCodes billed10

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Texas

Rank by total paid#4 of 13

Median peer was paid$260K

This provider vs. median2.9×

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
2020	395	$33K
2021	1,921	$149K
2022	2,142	$168K
2023	2,530	$205K
2024incomplete	2,555	$197K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	41%	3,814	3,530	$305K
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	19%	2,694	2,589	$144K
99205	Prolong outpt/office vis	18%	1,198	1,139	$133K
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	11%	929	877	$83K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	9.0%	701	644	$68K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.3%	69	61	$10K
99219		<1%	70	64	$6K
99222	Initial hospital care, per day, moderate complexity	<1%	15	13	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	27	24	$1K
99217		<1%	26	24	$891.36

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 officialALASWAD, BASHAR (PRESIDENT)