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

Irvine Gastroenterology

Irvine Gastroenterology was paid $1.00M by Medicaid between Jan 2020 and Dec 2024, across 9 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 29% of everything it billed.

33Billing provider infoIRVINE GASTROENTEROLOGY
IRVINE, CA 92618
33aNPI1578887790assigned 03/17/2010
28Total paid$1.00M
24GClaims6,048
24DCodes billed9
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Medical Specialty Clinic/Center providers in California

Rank by total paid#21 of 164
Median peer was paid$37K
This provider vs. median27×

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$25K$50K$75K2018201920202021202220232024
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
202012$519.85
202126$123.52
2022111$7K
20232,945$424K
2024incomplete2,954$571K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 29% 701 690 $296K
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 22% 2,218 2,215 $218K
45380 Colonoscopy, flexible; with biopsy, single or multiple 16% 692 687 $165K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14% 769 767 $135K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 9.8% 300 299 $98K
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 7.3% 1,214 1,178 $73K
99205 Prolong outpt/office vis 1.2% 108 108 $12K
99245 <1% 33 33 $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 <1% 13 13 $24.00

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 officialYU, FANG (PRESIDENT)