Physician
Los Palos Gastroenterology Specialists INC
Los Palos Gastroenterology Specialists INC was paid $2.56M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 16% of everything it billed.
33Billing provider infoLOS PALOS GASTROENTEROLOGY SPECIALISTS INC
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1538534946assigned 12/10/2015
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$2.56M
24GClaims34,017
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in California
Rank by total paid#2 of 21
Median peer was paid$69K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, STEVEN controls 16+ related entities in our dataset. Read more
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 | 1,024 | $121K | |
| 2019 | 1,949 | $187K | |
| 2020 | 2,569 | $210K | |
| 2021 | 3,456 | $262K | |
| 2022 | 4,677 | $394K | |
| 2023 | 9,812 | $620K | |
| 2024incomplete | 10,530 | $768K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 16% | 2,288 | 2,257 | $399K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 3,274 | 3,263 | $389K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13% | 2,003 | 1,994 | $320K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 12% | 7,842 | 7,741 | $309K |
| 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 | 11% | 2,896 | 2,857 | $292K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.2% | 1,047 | 1,037 | $237K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.8% | 837 | 836 | $149K |
| 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 | 5.8% | 1,129 | 1,128 | $149K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 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) | 2.3% | 3,547 | 3,425 | $58K |
| 88312 | 2.1% | 3,082 | 3,073 | $53K | |
| 91200 | 1.6% | 1,511 | 1,511 | $41K |
9 more codes
| 88342 | <1% | 636 | $16K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 522 | $12K |
| 87077 | <1% | 1,467 | $11K | |
| 76981 | <1% | 63 | $7K | |
| 88341 | <1% | 83 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 40 | $2K |
| 43450 | <1% | 63 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $627.23 |
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 officialJOHNSON, STEVEN (OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.