Physician
Gastroenterology Medical of Los Angeles INC
Gastroenterology Medical of Los Angeles INC was paid $381K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 52% of everything it billed.
33Billing provider infoGASTROENTEROLOGY MEDICAL OF LOS ANGELES INC
MONTEREY PARK, CA 91754
MONTEREY PARK, CA 91754
33aNPI1528459385assigned 02/13/2015
33bProvider typeGastroenterology Physician
28Total paid$381K
24GClaims14,752
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#100 of 363
Median peer was paid$55K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2018 | 3,500 | $96K | |
| 2019 | 3,379 | $119K | |
| 2020 | 3,604 | $106K | |
| 2021 | 2,613 | $31K | |
| 2022 | 1,031 | $15K | |
| 2023 | 453 | $12K | |
| 2024incomplete | 172 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 52% | 4,976 | 4,588 | $198K |
| 88313 | 20% | 3,283 | 3,267 | $76K | |
| 88312 | 19% | 3,293 | 3,268 | $73K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.5% | 2,896 | 2,789 | $21K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 75 | 75 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 97 | 97 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 65 | 65 | $999.36 |
| 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 | <1% | 12 | 12 | $645.75 |
| 99000 | 0% | 55 | 54 | $0.00 |
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 officialIBARRA, FERNANDO (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Gastroenterology Diagnostic Center Medical Group, a Professional | Monterey Park, CA | $6.73M |
| Fernando Ibarra M D INC | Monterey Park, CA | $4.35M |
| Femah INC a California Corporation | Monterey Park, CA | $614K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.