Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLATINUM DIGESTIVE HEALTH

NPI: 1629537352 · RANCHO CUCAMONGA, CA 91730 · Gastroenterology Physician · NPI assigned 03/12/2019

$155K
Total Medicaid Paid
3,713
Total Claims
3,233
Beneficiaries
14
Codes Billed
2019-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, BHAVESHKUMAR (MD)
NPI Enumeration Date03/12/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 209 $7K
2020 319 $10K
2021 443 $17K
2022 386 $16K
2023 608 $23K
2024 1,748 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 885 875 $47K
99222 Initial hospital care, per day, moderate complexity 459 449 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 305 305 $21K
99232 Subsequent hospital care, per day, moderate complexity 654 333 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 453 447 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 103 102 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 203 203 $8K
99233 Prolong inpt eval add15 m 272 164 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 226 224 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 64 43 $1K
43235 14 14 $1K
99221 34 34 $580.82
99153 Mod sedat endo service >5yrs 27 27 $241.02
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) 14 13 $24.19