Texarkana Gastroenterology Consultants, PA
Texarkana Gastroenterology Consultants, PA was paid $273K 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 — 56% of everything it billed.
33Billing provider infoTEXARKANA GASTROENTEROLOGY CONSULTANTS, PA
TEXARKANA, TX 75503
TEXARKANA, TX 75503
33aNPI1477519056assigned 04/24/2006
33bProvider typeSpecialist
28Total paid$273K
24GClaims6,717
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#93 of 382
Median peer was paid$29K
This provider vs. median9.4×
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 | 1,253 | $51K | |
| 2019 | 986 | $33K | |
| 2020 | 751 | $29K | |
| 2021 | 836 | $37K | |
| 2022 | 1,062 | $53K | |
| 2023 | 915 | $41K | |
| 2024incomplete | 914 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 56% | 2,937 | 2,434 | $153K |
| 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 | 12% | 979 | 891 | $32K |
| 00811 | 7.3% | 440 | 398 | $20K | |
| 00731 | 6.2% | 315 | 239 | $17K | |
| 88342 | 3.5% | 365 | 272 | $10K | |
| 88313 | 3.2% | 399 | 301 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 633 | 467 | $9K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 66 | 55 | $7K |
| 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 | 1.5% | 73 | 62 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 18 | 15 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $2K |
| 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% | 42 | 38 | $2K |
7 more codes
| 99490 | Ccm add 20min | <1% | 161 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | $701.25 |
| 99439 | <1% | 158 | $643.35 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 14 | $615.96 |
| 99221 | <1% | 14 | $595.62 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $163.35 |
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 officialPRITCHARD, MARY (ADMINISTRATOR)