Physician
Consultants in Gastroenterology, SC
Consultants in Gastroenterology, SC was paid $114K by Medicaid between Jan 2018 and Aug 2019, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.
33Billing provider infoCONSULTANTS IN GASTROENTEROLOGY, SC
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1396763330assigned 07/17/2006
33bProvider typeGastroenterology Physician
28Total paid$114K
24GClaims5,263
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Gastroenterology Physician providers in Indiana
Rank by total paid#10 of 33
Median peer was paid$32K
This provider vs. median3.5×
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 | 3,534 | $43K | |
| 2019 | 1,729 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 36% | 2,401 | 987 | $41K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 495 | 454 | $22K |
| 99223 | Prolong inpt eval add15 m | 13% | 483 | 400 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.5% | 287 | 166 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 489 | 479 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.2% | 185 | 167 | $8K |
| 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 | 3.3% | 127 | 123 | $4K |
| 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 | 2.9% | 167 | 158 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 76 | 76 | $1K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 78 | 72 | $461.40 |
| 99152 | <1% | 412 | 351 | $107.86 | |
| 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) | 0% | 50 | 39 | $0.00 |
1 more codes
| 99153 | Mod sedat endo service >5yrs | 0% | 13 | $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 officialEFRUSY, MARK (PRESIDENT)