Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Desigan, Gnana

Desigan, Gnana was paid $756K by Medicaid between Jan 2018 and Jan 2023, across 7 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 34% of everything it billed.

33Billing provider infoDESIGAN, GNANA
VAN NUYS, CA 91405
33aNPI1477580298assigned 06/27/2006
28Total paid$756K
24GClaims9,951
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#65 of 363
Median peer was paid$55K
This provider vs. median14×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,170$102K
20192,688$236K
20201,546$110K
20211,910$129K
20221,601$174K
202336$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 34% 1,775 1,770 $255K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21% 2,197 2,158 $162K
45380 Colonoscopy, flexible; with biopsy, single or multiple 20% 1,037 1,027 $148K
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 18% 4,267 4,261 $139K
99244 Office or other outpatient consultation, moderate to high complexity 3.7% 525 525 $28K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.9% 114 114 $22K
99205 Prolong outpt/office vis <1% 36 36 $2K

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.