North Texas Gastroenterology, PA

North Texas Gastroenterology, PA was paid $98K by Medicaid between Feb 2018 and Mar 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 30% of everything it billed.

33Billing provider infoNORTH TEXAS GASTROENTEROLOGY, PA
DENTON, TX 76210

33aNPI1396142774assigned 12/01/2014

33bProvider typeGastroenterology Physician

28Total paid$98K

24GClaims2,371

24DCodes billed10

24AFirst – last monthFeb 2018 – Mar 2024

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#14 of 91

Median peer was paid$8K

This provider vs. median13×

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	193	$1K
2019	122	$595.70
2020	423	$9K
2021	691	$33K
2022	436	$25K
2023	451	$25K
2024incomplete	55	$3K

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	30%	393	387	$29K
99205	Prolong outpt/office vis	27%	308	295	$27K
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	16%	352	328	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	503	452	$14K
99222	Initial hospital care, per day, moderate complexity	3.9%	218	186	$4K
43235		2.8%	92	79	$3K
99223	Prolong inpt eval add15 m	2.7%	116	104	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.0%	274	161	$2K
99221		<1%	99	98	$593.58
43246		<1%	16	12	$442.33

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 officialDASARI, VIJAYA (GASTROENTEROLOGY)