Metropolitan Gastrointestinal Specialists

Metropolitan Gastrointestinal Specialists was paid $6K by Medicaid between Mar 2022 and Oct 2024, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 98% of everything it billed.

33Billing provider infoMETROPOLITAN GASTROINTESTINAL SPECIALISTS
MAPLE GROVE, MN 55311

33aNPI1467640482assigned 10/04/2007

33bProvider typeGastroenterology Physician

28Total paid$6K

24GClaims157

24DCodes billed2

24AFirst – last monthMar 2022 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Minnesota

Rank by total paid#6 of 8

Median peer was paid$9K

This provider vs. median0.7×

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
2022	51	$3K
2023	39	$2K
2024incomplete	67	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	98%	117	115	$6K
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)	2.3%	40	39	$141.73

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 officialKROMHOUT, JAMES (PRESIDENT)