Island View Gastroenterology Assoc.

Island View Gastroenterology Assoc. was paid $378K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 34% of everything it billed.

33Billing provider infoISLAND VIEW GASTROENTEROLOGY ASSOC.
VENTURA, CA 93003

33aNPI1386701787assigned 01/03/2007

33bProvider typeGastroenterology Physician

28Total paid$378K

24GClaims3,993

24DCodes billed22

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#101 of 363

Median peer was paid$55K

This provider vs. median6.9×

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
2018	941	$46K
2019	517	$62K
2020	417	$41K
2021	258	$36K
2022	373	$56K
2023	187	$26K
2024incomplete	1,300	$111K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	34%	803	790	$128K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	558	555	$53K
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	13%	480	467	$48K
88305	Level IV - Surgical pathology, gross and microscopic examination	11%	391	391	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	731	724	$41K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	5.7%	150	142	$22K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	5.3%	85	85	$20K
99442		1.7%	81	73	$7K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.2%	13	12	$5K
88313		1.2%	50	50	$4K
99443		<1%	28	28	$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)	<1%	259	254	$3K

10 more codes

99152		<1%	44	$1K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	28	$871.39
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$566.43
99454		<1%	28	$401.16
99457		<1%	100	$329.05
99458		<1%	64	$312.77
88342		<1%	12	$103.61
99490	Ccm add 20min	<1%	23	$71.73
99453		<1%	28	$17.77
99439		0%	25	$0.00

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 officialIZQUIERDO, DAWN (MANAGER)