Medicaid Provider Spending

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

METROPOLITAN GASTROENTEROLOGY PC

NPI: 1528025756 · ASTORIA, NY 11105 · Gastroenterology Physician · NPI assigned 05/01/2006

$1.89M
Total Medicaid Paid
35,718
Total Claims
35,211
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODITIS, NICHOLAS (PRESIDENT)
NPI Enumeration Date05/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,533 $86K
2019 3,333 $150K
2020 4,814 $229K
2021 7,874 $379K
2022 7,836 $391K
2023 6,697 $358K
2024 2,631 $296K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,629 4,619 $612K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,921 3,778 $480K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,298 2,275 $349K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,303 2,281 $204K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,127 2,051 $80K
99441 1,483 1,418 $60K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 363 363 $32K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 476 471 $32K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 181 181 $30K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 30 30 $6K
99442 82 79 $5K
99072 192 164 $850.00
3017F 3,007 2,988 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 5,370 5,331 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 36 35 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,982 7,922 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,238 1,225 $0.00