Physician
Gastroenterology Consultants of South Texas, PLLC
Gastroenterology Consultants of South Texas, PLLC was paid $8.87M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 21% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1821127002assigned 03/05/2007
33bProvider typeAnesthesiology Physician
28Total paid$8.87M
24GClaims132,789
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Texas
Rank by total paid#4 of 134
Median peer was paid$34K
This provider vs. median261×
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 | 3,849 | $27K | |
| 2019 | 3,357 | $26K | |
| 2020 | 7,331 | $332K | |
| 2021 | 32,182 | $2.07M | |
| 2022 | 32,348 | $2.32M | |
| 2023 | 30,803 | $2.27M | |
| 2024incomplete | 22,919 | $1.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 21% | 8,871 | 8,416 | $1.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 58,441 | 52,962 | $1.68M |
| 88342 | 9.9% | 7,446 | 6,244 | $877K | |
| 00731 | 9.8% | 5,374 | 4,961 | $871K | |
| 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 | 8.5% | 20,053 | 18,276 | $757K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.5% | 8,407 | 8,020 | $665K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.4% | 4,755 | 4,511 | $567K |
| 00813 | 4.2% | 2,236 | 2,102 | $371K | |
| 99243 | 4.0% | 4,283 | 3,938 | $356K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.0% | 1,984 | 1,881 | $263K |
| 88313 | 1.6% | 1,901 | 1,731 | $143K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.5% | 1,847 | 1,761 | $133K |
23 more codes
| 43762 | 1.4% | 773 | $124K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,705 | $55K |
| 99223 | Prolong inpt eval add15 m | <1% | 590 | $32K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 674 | $31K |
| 17250 | <1% | 330 | $21K | |
| 00811 | <1% | 166 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 629 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 188 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 436 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 64 | $3K |
| 46600 | <1% | 57 | $3K | |
| 49905 | <1% | 20 | $3K | |
| 93975 | <1% | 44 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 18 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 43235 | <1% | 56 | $1K | |
| 76981 | <1% | 17 | $1K | |
| 99252 | <1% | 13 | $776.62 | |
| 00812 | <1% | 16 | $652.78 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 240 | $277.50 |
| 99024 | 0% | 69 | $0.00 | |
| 3017F | 0% | 23 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 37 | $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 officialPEREZ, NOLAN (PRESIDENT)