Physician
Western Gastroenterology Care Associates INC
Western Gastroenterology Care Associates INC was paid $61K by Medicaid between Aug 2022 and Nov 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 79% of everything it billed.
33Billing provider infoWESTERN GASTROENTEROLOGY CARE ASSOCIATES INC
LA MESA, CA 91942
LA MESA, CA 91942
33aNPI1508391822assigned 04/24/2017
33bProvider typeGastroenterology Physician
28Total paid$61K
24GClaims1,271
24DCodes billed3
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#178 of 363
Median peer was paid$55K
This provider vs. median1.1×
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 | 155 | $10K | |
| 2023 | 628 | $30K | |
| 2024incomplete | 488 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 79% | 845 | 829 | $48K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 414 | 255 | $11K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.5% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialBANAIE, ALI (PRESIDENT)