Central Valley Gastroenterology Associates, INC
Central Valley Gastroenterology Associates, INC was paid $814K by Medicaid between Jan 2018 and Dec 2023, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 32% of everything it billed.
TURLOCK, CA 95382
Next to other Gastroenterology Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,264 | $123K | |
| 2019 | 1,659 | $144K | |
| 2020 | 1,621 | $158K | |
| 2021 | 1,660 | $143K | |
| 2022 | 1,703 | $161K | |
| 2023 | 1,015 | $84K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 32% | 1,410 | 1,408 | $260K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 27% | 2,344 | 2,344 | $223K |
| 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 | 21% | 4,022 | 3,949 | $174K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.4% | 225 | 225 | $68K |
| 99223 | Prolong inpt eval add15 m | 5.6% | 464 | 461 | $45K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.7% | 64 | 64 | $22K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.8% | 51 | 51 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 220 | 162 | $4K |
| 99254 | <1% | 12 | 12 | $966.11 | |
| 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% | 35 | 35 | $835.20 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | 15 | $379.79 |
| 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) | <1% | 60 | 60 | $283.68 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Progressive Urgent Care INC | Modesto, CA | $4.06M |
| Care First Home Health INC | Upper Darby, PA | $2.75M |
| Greater Michigan Gastroenterology PC | Clinton Township, MI | $169K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.