Northwest Gastroenterology Clinic LLC
Northwest Gastroenterology Clinic LLC was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 34% of everything it billed.
33Billing provider infoNORTHWEST GASTROENTEROLOGY CLINIC LLC
PORTLAND, OR 97210
PORTLAND, OR 97210
33aNPI1407933872assigned 11/01/2006
33bProvider typeSpecialist
28Total paid$337K
24GClaims3,997
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Oregon
Rank by total paid#18 of 85
Median peer was paid$36K
This provider vs. median9.4×
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 | 350 | $32K | |
| 2019 | 583 | $44K | |
| 2020 | 445 | $24K | |
| 2021 | 638 | $53K | |
| 2022 | 602 | $58K | |
| 2023 | 598 | $56K | |
| 2024incomplete | 781 | $70K |
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% | 955 | 923 | $114K |
| 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 | 33% | 1,423 | 1,342 | $110K |
| 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% | 581 | 556 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 304 | 286 | $16K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.0% | 123 | 117 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.4% | 113 | 111 | $8K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.4% | 50 | 48 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 88 | 81 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | 40 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | 16 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | 13 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 19 | 16 | $2K |
6 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 89 | $2K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 12 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 102 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 17 | $946.30 |
| 99072 | <1% | 15 | $73.50 |
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 officialBENNETTS, ROLAND (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| NGC Endoscopy Services LLC | Portland, OR | $1.59M |
| Complete Anesthesia Care LLC | Portland, OR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.