NP / PA
Eugene Gastroenterology Consultants PC
Eugene Gastroenterology Consultants PC was paid $1.81M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 20% of everything it billed.
33Billing provider infoEUGENE GASTROENTEROLOGY CONSULTANTS PC
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
33aNPI1457374480assigned 07/25/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$1.81M
24GClaims25,206
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Oregon
Rank by total paid#1 of 65
Median peer was paid$6K
This provider vs. median315×
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 | 2,561 | $122K | |
| 2019 | 3,466 | $186K | |
| 2020 | 2,807 | $197K | |
| 2021 | 3,237 | $249K | |
| 2022 | 3,933 | $315K | |
| 2023 | 5,041 | $401K | |
| 2024incomplete | 4,161 | $341K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 20% | 7,594 | 6,666 | $369K |
| 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 | 20% | 5,145 | 4,570 | $369K |
| 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 | 19% | 3,003 | 2,720 | $343K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 14% | 1,944 | 1,764 | $260K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.6% | 1,771 | 1,607 | $138K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.7% | 415 | 380 | $84K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 1,004 | 914 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 1,549 | 1,411 | $79K |
| 99205 | Prolong outpt/office vis | 1.9% | 236 | 213 | $35K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 96 | 91 | $16K |
| 99152 | <1% | 791 | 762 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 150 | 127 | $10K |
7 more codes
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 697 | $9K |
| 99153 | Mod sedat endo service >5yrs | <1% | 485 | $3K |
| 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% | 210 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 53 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 21 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 21 | $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 officialKAY, PETER (ADMINISTRATOR)