Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC

NPI: 1487651956 · CRESTVIEW HILLS, KY 41017 · Ambulatory Surgical Clinic/Center · NPI assigned 06/30/2005

$1.92M
Total Medicaid Paid
10,485
Total Claims
8,078
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFAGEL, DANIEL (PRESIDENT)
NPI Enumeration Date06/30/2005

Related Entities

Other providers sharing the same authorized official: FAGEL, DANIEL

ProviderCityStateTotal Paid
TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC CRESTVIEW HILLS KY $1.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,893 $326K
2019 1,690 $326K
2020 1,380 $261K
2021 1,980 $293K
2022 1,295 $198K
2023 1,349 $246K
2024 898 $266K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,972 3,733 $765K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,695 2,157 $625K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,220 997 $330K
43248 773 583 $139K
43450 472 323 $38K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 63 55 $15K
43249 21 12 $4K
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 254 205 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 15 13 $0.00