Physician
Enloe Medical Center
Enloe Medical Center was paid $909K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 36% of everything it billed.
33Billing provider infoENLOE MEDICAL CENTER
CHICO, CA 95928
CHICO, CA 95928
33aNPI1801226162assigned 11/22/2013
33bProvider typeGastroenterology Physician
28Total paid$909K
24GClaims12,139
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#55 of 363
Median peer was paid$55K
This provider vs. median17×
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 | 1,279 | $84K | |
| 2019 | 1,348 | $96K | |
| 2020 | 1,277 | $96K | |
| 2021 | 1,309 | $124K | |
| 2022 | 1,304 | $87K | |
| 2023 | 2,903 | $170K | |
| 2024incomplete | 2,719 | $251K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 36% | 2,369 | 2,359 | $330K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 15% | 720 | 717 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,821 | 3,793 | $108K |
| 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 | 8.7% | 1,620 | 1,602 | $79K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.5% | 204 | 203 | $59K |
| 43264 | 5.5% | 311 | 304 | $50K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 1,028 | 596 | $30K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.1% | 102 | 101 | $28K |
| 99253 | 3.0% | 614 | 602 | $27K | |
| 43235 | 2.2% | 139 | 139 | $20K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 141 | 141 | $7K |
| 74328 | <1% | 227 | 222 | $6K |
11 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 213 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 68 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 88 | $4K |
| 99254 | <1% | 48 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 84 | $2K |
| 99255 | <1% | 21 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 112 | $1K |
| 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% | 131 | $1K |
| 99252 | <1% | 27 | $788.77 | |
| 74330 | <1% | 39 | $624.96 | |
| 99221 | <1% | 12 | $377.30 |
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 officialMACHULA, MYRON (VP/CFO)
Parent organizationENLOE MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Enloe Medical Center | Chico, CA | $2.15M |
| Enloe Medical Center | Chico, CA | $1.07M |
| Enloe Medical Center | Chico, CA | $426K |
| Enloe Medical Center | Chico, CA | $367K |
| Enloe Medical Center | Chico, CA | $80K |
| Enloe Medical Center | Chico, CA | $64K |
| Enloe Medical Center | Chico, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.