Physician
Grand Junction Gastroenterology, PLLC
Grand Junction Gastroenterology, PLLC was paid $430K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 33% of everything it billed.
33Billing provider infoGRAND JUNCTION GASTROENTEROLOGY, PLLC
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
33aNPI1841238250assigned 06/04/2006
33bProvider typeGastroenterology Physician
28Total paid$430K
24GClaims5,364
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Colorado
Rank by total paid#7 of 34
Median peer was paid$75K
This provider vs. median5.7×
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 | 249 | $31K | |
| 2019 | 259 | $27K | |
| 2020 | 285 | $24K | |
| 2021 | 862 | $78K | |
| 2022 | 1,499 | $120K | |
| 2023 | 1,364 | $96K | |
| 2024incomplete | 846 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 33% | 1,392 | 1,266 | $144K |
| 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 | 25% | 1,495 | 1,350 | $106K |
| 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% | 1,102 | 995 | $52K |
| 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 | 11% | 478 | 393 | $47K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.0% | 261 | 233 | $39K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.6% | 71 | 65 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 101 | 94 | $8K |
| 43235 | 1.7% | 71 | 65 | $7K | |
| 91200 | 1.5% | 351 | 305 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | 14 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $2K |
| 43248 | <1% | 14 | 12 | $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 officialJACOBSON, TARA (PRACTICE ADMINISTRATOR)