Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Athens Gastroenterology PA

Athens Gastroenterology PA was paid $5.53 by Medicaid between Mar 2018 and Nov 2019, across 4 billing codes. Its largest line is 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) — 100% of everything it billed.

33Billing provider infoATHENS GASTROENTEROLOGY PA
ATHENS, TX 75751
33aNPI1568473916assigned 08/11/2006
28Total paid$5.53
24GClaims227
24DCodes billed4
24AFirst – last monthMar 2018 – Nov 2019
Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#88 of 91
Median peer was paid$8K
This provider vs. median0.0×

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

$0$2$4$62018201920202021202220232024
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
YearClaimsPaid
2018186$0.00
201941$5.53
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 100% 70 68 $5.53
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 85 82 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 43 41 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 29 29 $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 officialTAKATA, JAY (PRESIDENT CEO)