Gem State Endoscopy

Gem State Endoscopy was paid $71K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 92% of everything it billed.

33Billing provider infoGEM STATE ENDOSCOPY
LEWISTON, ID 83501

33aNPI1821459496assigned 03/10/2016

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$71K

24GClaims440

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Idaho

Rank by total paid#20 of 34

Median peer was paid$126K

This provider vs. median0.6×

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	103	$8K
2019	56	$8K
2020	41	$7K
2021	65	$12K
2022	59	$12K
2023	77	$17K
2024incomplete	39	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	92%	371	347	$66K
43248		7.7%	26	26	$5K
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	43	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 officialBLEVINS, KATIE (ADMINISTRATOR)