Physician
Advanced Endoscopy Consultants
Advanced Endoscopy Consultants was paid $778K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 17% of everything it billed.
33Billing provider infoADVANCED ENDOSCOPY CONSULTANTS
SANTEE, CA 92071
SANTEE, CA 92071
33aNPI1770889297assigned 01/31/2011
33bProvider typeGastroenterology Physician
28Total paid$778K
24GClaims9,561
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#63 of 363
Median peer was paid$55K
This provider vs. median14×
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 | 1,157 | $125K | |
| 2019 | 1,836 | $172K | |
| 2020 | 1,533 | $131K | |
| 2021 | 1,512 | $106K | |
| 2022 | 1,661 | $129K | |
| 2023 | 1,315 | $78K | |
| 2024incomplete | 547 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 453 | 445 | $129K |
| 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% | 2,632 | 2,607 | $108K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 14% | 529 | 528 | $108K |
| 99205 | Prolong outpt/office vis | 13% | 936 | 936 | $98K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 309 | 309 | $89K |
| 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 | 11% | 2,418 | 2,399 | $88K |
| 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 | 8.2% | 875 | 874 | $63K |
| 45388 | 6.1% | 205 | 202 | $48K | |
| 99245 | 4.8% | 296 | 296 | $38K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 883 | 877 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | 25 | $2K |
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 officialREDDY, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Labs of WV LLC | Charleston, WV | $10.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.