Physician
Center for Pediatric Gastroenterology & Nutrition MDSC
Center for Pediatric Gastroenterology & Nutrition MDSC was paid $336K by Medicaid between Sep 2019 and Nov 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 51% of everything it billed.
33Billing provider infoCENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1629155718assigned 11/01/2006
33bProvider typePediatric Gastroenterology Physician
28Total paid$336K
24GClaims4,289
24DCodes billed4
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Illinois
Rank by total paid#6 of 45
Median peer was paid$57K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2019 | 58 | $5K | |
| 2020 | 515 | $34K | |
| 2021 | 1,058 | $86K | |
| 2022 | 806 | $58K | |
| 2023 | 854 | $74K | |
| 2024incomplete | 998 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 1,839 | 1,300 | $170K |
| 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 | 46% | 2,298 | 1,578 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 122 | 92 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 30 | 25 | $4K |
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 officialNAGPAL, RAJEEV (PRESIDENT)