Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Puget Sound Gastroenterology, PLLC

Puget Sound Gastroenterology, PLLC was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 68% of everything it billed.

33Billing provider infoPUGET SOUND GASTROENTEROLOGY, PLLC
KIRKLAND, WA 98034
33aNPI1427185388assigned 02/27/2007
28Total paid$36K
24GClaims593
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Washington

Rank by total paid#50 of 76
Median peer was paid$90K
This provider vs. median0.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official OLIVER, ALAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201843$1K
2022232$14K
2023287$19K
2024incomplete31$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 68% 324 315 $24K
88312 11% 65 65 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.6% 81 36 $2K
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 4.0% 43 41 $1K
88313 3.5% 26 26 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.4% 12 12 $882.24
99223 Prolong inpt eval add15 m 2.0% 14 14 $716.88
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 15 15 $577.59
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% 13 12 $296.00

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 officialOLIVER, ALAN (CEO)
Same official

Other billing entities under OLIVER, ALAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.