Medicaid Provider Spending

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

TRI-STATE DIGESTIVE DISEASE ASSOC PSC.

NPI: 1851467237 · ASHLAND, KY 41101 · Gastroenterology Physician · NPI assigned 11/28/2006

$143K
Total Medicaid Paid
3,786
Total Claims
3,508
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialCANTY, MICHAEL (PRESIDENT)
NPI Enumeration Date11/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 988 $41K
2019 898 $30K
2020 577 $22K
2021 489 $16K
2022 517 $22K
2023 272 $10K
2024 45 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,011 932 $69K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,408 1,295 $36K
45380 Colonoscopy, flexible; with biopsy, single or multiple 108 100 $15K
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) 670 636 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 467 428 $7K
99244 Office or other outpatient consultation, moderate to high complexity 44 39 $3K
99222 Initial hospital care, per day, moderate complexity 65 65 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $2K