Physician
Ace Gastroenterology Associates INC
Ace Gastroenterology Associates INC was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 20% of everything it billed.
33Billing provider infoACE GASTROENTEROLOGY ASSOCIATES INC
RIALTO, CA 92377
RIALTO, CA 92377
33aNPI1447671714assigned 01/03/2014
33bProvider typeGastroenterology Physician
28Total paid$1.43M
24GClaims22,845
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#41 of 363
Median peer was paid$55K
This provider vs. median26×
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 | 2,305 | $194K | |
| 2019 | 2,508 | $214K | |
| 2020 | 2,269 | $164K | |
| 2021 | 3,172 | $214K | |
| 2022 | 3,808 | $227K | |
| 2023 | 5,087 | $221K | |
| 2024incomplete | 3,696 | $193K |
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 | 20% | 3,210 | 3,208 | $289K |
| 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 | 16% | 4,589 | 4,538 | $224K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 15% | 2,274 | 2,272 | $215K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 1,772 | 1,760 | $146K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 8.8% | 413 | 411 | $126K |
| 99245 | 7.0% | 754 | 753 | $100K | |
| 99152 | 6.2% | 1,959 | 1,906 | $89K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.8% | 343 | 335 | $82K |
| 99070 | 3.5% | 486 | 483 | $50K | |
| 99205 | Prolong outpt/office vis | 1.9% | 268 | 268 | $27K |
| 99153 | Mod sedat endo service >5yrs | 1.6% | 1,873 | 1,831 | $22K |
| 88313 | 1.6% | 356 | 346 | $22K |
10 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 354 | $18K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 41 | $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 | <1% | 179 | $5K |
| 88312 | <1% | 67 | $3K | |
| 3017F | <1% | 1,635 | $0.34 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 692 | $0.26 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 668 | $0.20 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 633 | $0.13 |
| 1123F | <1% | 259 | $0.02 | |
| 1036F | 0% | 20 | $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 officialBALASUBRAMANIAM, KUMAR (OWNER)