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

Yuma Gastro LLC

Yuma Gastro LLC was paid $3.44M by Medicaid between Jan 2018 and Dec 2020, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoYUMA GASTRO LLC
YUMA, AZ 85364
33aNPI1497074173assigned 05/20/2010
28Total paid$3.44M
24GClaims37,300
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Gastroenterology Physician providers in Arizona

Rank by total paid#2 of 63
Median peer was paid$93K
This provider vs. median37×

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$100K$200K2018201920202021202220232024
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
201813,840$1.02M
201914,425$1.52M
20209,035$905K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 18% 7,873 7,189 $608K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 17% 4,731 4,281 $591K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 9,314 8,480 $490K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12% 1,841 1,623 $407K
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 8.3% 1,940 1,848 $285K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 6.1% 1,075 991 $210K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.6% 3,882 1,519 $193K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.0% 2,079 1,910 $172K
88305 Level IV - Surgical pathology, gross and microscopic examination 4.3% 1,436 1,279 $146K
88342 2.7% 511 473 $91K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 1.2% 239 212 $42K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.0% 228 194 $36K
14 more codes
99222 Initial hospital care, per day, moderate complexity <1% 238 $29K
99215 Doctor's office visit, returning patient (complex) <1% 259 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 721 $27K
99223 Prolong inpt eval add15 m <1% 221 $19K
99254 <1% 79 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 180 $11K
91200 <1% 209 $10K
88313 <1% 51 $8K
88312 <1% 40 $7K
S0285 Colonoscopy consultation performed prior to a screening colonoscopy procedure <1% 83 $5K
43259 <1% 15 $3K
43235 <1% 29 $3K
99243 <1% 12 $2K
43248 <1% 14 $1K

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 officialANIREDDY, DIVESH (SECRETARY)