Physician
Philadelphia Gastroenterology Consultants LTD.
Philadelphia Gastroenterology Consultants LTD. was paid $388K by Medicaid between Jan 2018 and Jun 2022, across 15 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.
33Billing provider infoPHILADELPHIA GASTROENTEROLOGY CONSULTANTS LTD.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
33aNPI1861425613assigned 07/07/2006
33bProvider typeGastroenterology Physician
28Total paid$388K
24GClaims6,672
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#11 of 178
Median peer was paid$6K
This provider vs. median67×
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 | 310 | $2K | |
| 2020 | 699 | $43K | |
| 2021 | 3,654 | $218K | |
| 2022 | 2,009 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 34% | 871 | 858 | $134K |
| 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 | 15% | 1,603 | 1,563 | $60K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 11% | 649 | 621 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,336 | 1,287 | $39K |
| 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 | 6.2% | 318 | 308 | $24K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.4% | 108 | 99 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 445 | 428 | $21K |
| 88342 | 3.8% | 289 | 280 | $15K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.7% | 78 | 76 | $14K |
| 88313 | 2.5% | 332 | 323 | $10K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.8% | 445 | 439 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 147 | 97 | $779.56 |
3 more codes
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 officialTANKER, MARK (PRESIDENT)