Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONTANA GASTROENTEROLOGY, PLLC

NPI: 1821612946 · MISSOULA, MT 59808 · Clinic/Center · NPI assigned 06/04/2020

$152K
Total Medicaid Paid
1,777
Total Claims
1,593
Beneficiaries
10
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCARVILLE, ROBERT (AUTHORIZED OFFICIAL)
NPI Enumeration Date06/04/2020

Related Entities

Other providers sharing the same authorized official: MCCARVILLE, ROBERT

ProviderCityStateTotal Paid
MONTANA ENDOSCOPY CENTER, PLLC MISSOULA MT $391K
EYE SURGERY CENTER OF WISCONSIN, LLC OAK CREEK WI $349K
RIVER POINT SURGERY CENTER, LLC SHERIDAN CO $22K
HERITAGE DEVELOPMENT PARTNERS, LLC EDGEWOOD KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 119 $12K
2022 222 $21K
2023 801 $66K
2024 635 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 652 604 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 494 437 $45K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 197 156 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 91 89 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple 69 50 $8K
00812 32 27 $3K
88312 91 89 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35 32 $2K
99205 Prolong outpt/office vis 13 12 $2K
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) 103 97 $1K