Physician
San Jose Gastroenterology, INC.
San Jose Gastroenterology, INC. was paid $143K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 23% of everything it billed.
33Billing provider infoSAN JOSE GASTROENTEROLOGY, INC.
SAN JOSE, CA 95116
SAN JOSE, CA 95116
33aNPI1578586731assigned 07/26/2006
33bProvider typeGastroenterology Physician
28Total paid$143K
24GClaims21,057
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#139 of 363
Median peer was paid$55K
This provider vs. median2.6×
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 | 2,333 | $24K | |
| 2019 | 1,998 | $22K | |
| 2020 | 2,060 | $10K | |
| 2021 | 4,062 | $25K | |
| 2022 | 4,960 | $29K | |
| 2023 | 3,526 | $25K | |
| 2024incomplete | 2,118 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 23% | 1,122 | 1,122 | $32K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 17% | 1,166 | 1,164 | $24K |
| 99223 | Prolong inpt eval add15 m | 12% | 558 | 547 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 1,023 | 1,018 | $17K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.4% | 2,513 | 2,400 | $8K |
| 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) | 4.9% | 3,846 | 3,833 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 343 | 235 | $6K |
| 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 | 4.3% | 1,949 | 1,942 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 4,062 | 4,048 | $6K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2.6% | 881 | 880 | $4K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 2.4% | 622 | 622 | $3K |
| 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 | 2.4% | 582 | 581 | $3K |
9 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.8% | 1,159 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.8% | 138 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.8% | 194 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 36 | $318.02 |
| 91200 | <1% | 182 | $289.83 | |
| 99152 | <1% | 547 | $131.21 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 50 | $78.56 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $29.33 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 27 | $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 officialTRINH, HUY (BUSINESS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Warrenton Oral and Facial Surgery | Warrenton, VA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.