Medicaid Provider Spending

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

ACE GASTROENTEROLOGY ASSOCIATES INC

NPI: 1447671714 · RIALTO, CA 92377 · Gastroenterology Physician · NPI assigned 01/03/2014

$1.43M
Total Medicaid Paid
22,845
Total Claims
22,599
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALASUBRAMANIAM, KUMAR (OWNER)
NPI Enumeration Date01/03/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,305 $194K
2019 2,508 $214K
2020 2,269 $164K
2021 3,172 $214K
2022 3,808 $227K
2023 5,087 $221K
2024 3,696 $193K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,210 3,208 $289K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,589 4,538 $224K
99244 Office or other outpatient consultation, moderate to high complexity 2,274 2,272 $215K
99215 Prolong outpt/office vis 1,772 1,760 $146K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 413 411 $126K
99245 754 753 $100K
99152 1,959 1,906 $89K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 343 335 $82K
99070 486 483 $50K
99205 Prolong outpt/office vis 268 268 $27K
99153 Mod sedat endo service >5yrs 1,873 1,831 $22K
88313 356 346 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination 354 344 $18K
45380 Colonoscopy, flexible; with biopsy, single or multiple 41 40 $10K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 179 172 $5K
88312 67 67 $3K
3017F 1,635 1,621 $0.34
G9903 Patient screened for tobacco use and identified as a tobacco non-user 692 685 $0.26
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 668 661 $0.20
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 633 624 $0.13
1123F 259 256 $0.02
1036F 20 18 $0.00