Physician
Los Palos Gastroenterology INC
Los Palos Gastroenterology INC was paid $394K by Medicaid between Jan 2018 and Feb 2022, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoLOS PALOS GASTROENTEROLOGY INC
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1851530646assigned 02/18/2009
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$394K
24GClaims5,617
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in California
Rank by total paid#9 of 21
Median peer was paid$69K
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 | 1,685 | $110K | |
| 2019 | 1,407 | $100K | |
| 2020 | 1,024 | $74K | |
| 2021 | 1,315 | $92K | |
| 2022 | 186 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 2,035 | 1,981 | $127K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 984 | 981 | $100K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 20% | 475 | 470 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 907 | 885 | $40K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.5% | 68 | 67 | $14K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.2% | 276 | 272 | $9K |
| 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) | 1.8% | 260 | 242 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 395 | 393 | $6K |
| 99205 | Prolong outpt/office vis | 1.2% | 71 | 71 | $5K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $4K |
| 88312 | <1% | 109 | 109 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $815.42 |
1 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $545.77 |
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 officialCARLSON, JOHN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Retina Consultants of Southern Cal Medical Associates INC | Riverside, CA | $2.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.