Medicaid Provider Spending

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

PHILADELPHIA GASTROENTEROLOGY CONSULTANTS LTD.

NPI: 1861425613 · PHILADELPHIA, PA 19111 · Gastroenterology Physician · NPI assigned 07/07/2006

$388K
Total Medicaid Paid
6,672
Total Claims
6,430
Beneficiaries
15
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialTANKER, MARK (PRESIDENT)
NPI Enumeration Date07/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 310 $2K
2020 699 $43K
2021 3,654 $218K
2022 2,009 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 871 858 $134K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,603 1,563 $60K
88305 Level IV - Surgical pathology, gross and microscopic examination 649 621 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,336 1,287 $39K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 318 308 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 108 99 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 445 428 $21K
88342 289 280 $15K
45380 Colonoscopy, flexible; with biopsy, single or multiple 78 76 $14K
88313 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 445 439 $7K
99232 Subsequent hospital care, per day, moderate complexity 147 97 $779.56
91200 26 26 $535.16
99222 Initial hospital care, per day, moderate complexity 13 13 $5.39
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00