Clinic
Macarthur Gastroenterology INC.
Macarthur Gastroenterology INC. was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 30% of everything it billed.
33Billing provider infoMACARTHUR GASTROENTEROLOGY INC.
OAKLAND, CA 94605
OAKLAND, CA 94605
33aNPI1679884829assigned 06/22/2010
33bProvider typeEndoscopy Clinic/Center
28Total paid$1.04M
24GClaims15,214
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endoscopy Clinic/Center providers in California
Rank by total paid#7 of 13
Median peer was paid$1.04M
This provider vs. median1.0×
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 | 2,665 | $139K | |
| 2019 | 2,601 | $173K | |
| 2020 | 2,438 | $161K | |
| 2021 | 2,880 | $200K | |
| 2022 | 2,078 | $159K | |
| 2023 | 1,344 | $92K | |
| 2024incomplete | 1,208 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 30% | 2,174 | 1,408 | $311K |
| 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 | 25% | 5,317 | 5,251 | $264K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 22% | 3,018 | 3,013 | $231K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,959 | 3,653 | $140K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.6% | 746 | 477 | $89K |
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 officialWILLIMAN, RENEE (PRACTICE ADMINISTRATOR)