Physician
Gastroenterology & Hepatology Specialists INC
Gastroenterology & Hepatology Specialists INC was paid $356K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 34% of everything it billed.
33Billing provider infoGASTROENTEROLOGY & HEPATOLOGY SPECIALISTS INC
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
33aNPI1457625931assigned 03/01/2012
33bProvider typeGastroenterology Physician
28Total paid$356K
24GClaims5,046
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#107 of 363
Median peer was paid$55K
This provider vs. median6.5×
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 | 848 | $24K | |
| 2019 | 180 | $12K | |
| 2020 | 436 | $29K | |
| 2021 | 743 | $45K | |
| 2022 | 815 | $67K | |
| 2023 | 1,119 | $96K | |
| 2024incomplete | 905 | $83K |
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 | 34% | 1,361 | 1,354 | $121K |
| 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 | 30% | 2,046 | 1,878 | $106K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 332 | 326 | $55K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.8% | 88 | 85 | $24K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.6% | 631 | 307 | $20K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 213 | 203 | $11K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.9% | 15 | 15 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | 13 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 95 | 95 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 125 | 41 | $2K |
| 99443 | <1% | 13 | 13 | $1K | |
| 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% | 16 | 16 | $1K |
2 more codes
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 officialTRIVEDI, MAYUR (PRESIDENT)