San Antonio Gastroenterology Associates, PA

San Antonio Gastroenterology Associates, PA was paid $15K by Medicaid between Jan 2018 and Sep 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoSAN ANTONIO GASTROENTEROLOGY ASSOCIATES, PA
SAN ANTONIO, TX 78212

33aNPI1427150697assigned 09/01/2006

33bProvider typeGastroenterology Physician

28Total paid$15K

24GClaims5,125

24DCodes billed15

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#35 of 91

Median peer was paid$8K

This provider vs. median1.9×

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	3,101	$9K
2019	2,024	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	1,022	991	$5K
88305	Level IV - Surgical pathology, gross and microscopic examination	18%	897	511	$3K
88342		14%	395	285	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	657	351	$2K
88313		7.9%	380	277	$1K
99223	Prolong inpt eval add15 m	4.8%	103	96	$716.68
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	3.2%	160	151	$480.12
99222	Initial hospital care, per day, moderate complexity	1.9%	108	107	$279.45
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.3%	28	27	$188.64
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	25	14	$37.25
G8482	Influenza immunization administered or previously received	0%	189	179	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	448	424	$0.00

3 more codes

4040F		0%	276	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	162	$0.00
3017F		0%	275	$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 officialFREEHAUF, KIMBERLY (ADMINISTRATOR)