Physician
Gastroenterology Consultants, PC
Gastroenterology Consultants, PC was paid $1.26M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CONSULTANTS, PC
MEDFORD, OR 97504
MEDFORD, OR 97504
33aNPI1639104136assigned 07/12/2006
33bProvider typeGastroenterology Physician
28Total paid$1.26M
24GClaims23,259
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Oregon
Rank by total paid#2 of 11
Median peer was paid$7K
This provider vs. median188×
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 | 4,045 | $204K | |
| 2019 | 4,158 | $209K | |
| 2020 | 3,193 | $151K | |
| 2021 | 4,158 | $229K | |
| 2022 | 4,266 | $242K | |
| 2023 | 2,744 | $178K | |
| 2024incomplete | 695 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 5,979 | 5,240 | $285K |
| 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 | 21% | 2,357 | 2,184 | $262K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 3,025 | 2,730 | $215K |
| 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 | 15% | 2,609 | 2,336 | $192K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 1,623 | 1,461 | $135K |
| 43235 | 6.2% | 1,020 | 928 | $78K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.4% | 365 | 340 | $56K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 165 | 146 | $19K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.3% | 127 | 121 | $16K |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | 25 | $3K |
| 91065 | <1% | 12 | 12 | $359.94 | |
| 99152 | 0% | 5,950 | 5,582 | $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 officialNIELSEN, DEBBIE (OFFICE MANAGER)