Medicaid Provider Spending

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

CONSULTANTS IN GASTROENTEROLOGY, SC

NPI: 1396763330 · MUNSTER, IN 46321 · Gastroenterology Physician · NPI assigned 07/17/2006

$114K
Total Medicaid Paid
5,263
Total Claims
3,484
Beneficiaries
13
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialEFRUSY, MARK (PRESIDENT)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,534 $43K
2019 1,729 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 2,401 987 $41K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 495 454 $22K
99223 Prolong inpt eval add15 m 483 400 $14K
99233 Prolong inpt eval add15 m 287 166 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 489 479 $9K
99222 Initial hospital care, per day, moderate complexity 185 167 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127 123 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 167 158 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 76 76 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 78 72 $461.40
99152 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) 50 39 $0.00
99153 Mod sedat endo service >5yrs 13 12 $0.00