Medicaid Provider Spending

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

LOS PALOS GASTROENTEROLOGY SPECIALISTS INC

NPI: 1538534946 · SALINAS, CA 93901 · Clinical Pathology/Laboratory Medicine Physician · NPI assigned 12/10/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, STEVEN controls 16+ related entities in our dataset. Read more

$2.56M
Total Medicaid Paid
34,017
Total Claims
33,613
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, STEVEN (OFFICER)
NPI Enumeration Date12/10/2015

Related Entities

Other providers sharing the same authorized official: JOHNSON, STEVEN

ProviderCityStateTotal Paid
BOZEMAN SCHOOL DISTRICT #7 BOZEMAN MT $5.45M
CENTRAL COAST ENDOSCOPY CENTER INC FREEDOM CA $4.12M
SSM HEALTH CARE ST. LOUIS BRIDGETON MO $2.30M
SSM HEALTH CARE ST. LOUIS SAINT CHARLES MO $804K
ALASKA PAIN TO WELLNESS CENTRE LLC ANCHORAGE AK $685K
BOZEMAN SCHOOL DISTRICT #7 BOZEMAN MT $682K
BELGRADE SCHOOL DISTRICT #44 BOZEMAN MT $668K
ROCKY TOP MEDICAL CENTER SEVIERVILLE TN $582K
BUTTE SCHOOL DISTRICT #1 BUTTE MT $513K
SSM HEALTH CARE ST. LOUIS LAKE ST LOUIS MO $311K
ADVOCATE PSYCHOTHERAPY SERVICES LLC STEVENS POINT WI $181K
NEW LONDON FAMILY PRACTICE, P.C. NEW LONDON CT $123K
COUNTY OF GALLATIN - SCHOOL DISTRICT 3 MANHATTAN MT $30K
VOYAGEUR RADIOLOGY LLC STILLWATER MN $21K
THREE FORKS PUBLIC SCHOOLS THREE FORKS MT $14K
CENTRAL COAST EYE, INC., A PROFESSIONAL MEDICAL CORPORATION SAN LUIS OBISPO CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,024 $121K
2019 1,949 $187K
2020 2,569 $210K
2021 3,456 $262K
2022 4,677 $394K
2023 9,812 $620K
2024 10,530 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,288 2,257 $399K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,274 3,263 $389K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,003 1,994 $320K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,842 7,741 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,896 2,857 $292K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,047 1,037 $237K
99244 Office or other outpatient consultation, moderate to high complexity 837 836 $149K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,129 1,128 $149K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,656 1,631 $116K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 3,547 3,425 $58K
88312 3,082 3,073 $53K
91200 1,511 1,511 $41K
88342 636 634 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 522 508 $12K
87077 1,467 1,458 $11K
76981 63 63 $7K
88341 83 83 $2K
99232 Subsequent hospital care, per day, moderate complexity 40 27 $2K
43450 63 63 $1K
99233 Prolong inpt eval add15 m 19 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $627.23