Northlake Gastroenterology
Northlake Gastroenterology was paid $7.18M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 33% of everything it billed.
33Billing provider infoNORTHLAKE GASTROENTEROLOGY
HAMMOND, LA 70403
HAMMOND, LA 70403
33aNPI1861484842assigned 08/17/2005
33bProvider typeSpecialist
28Total paid$7.18M
24GClaims101,236
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#9 of 228
Median peer was paid$60K
This provider vs. median120×
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 | 12,918 | $856K | |
| 2019 | 14,509 | $1.01M | |
| 2020 | 13,051 | $870K | |
| 2021 | 15,049 | $1.22M | |
| 2022 | 15,204 | $1.25M | |
| 2023 | 16,024 | $1.05M | |
| 2024incomplete | 14,481 | $931K |
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% | 15,582 | 14,485 | $2.34M |
| 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 | 14% | 13,005 | 12,277 | $981K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 29,682 | 26,927 | $925K |
| 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 | 8.2% | 13,999 | 12,691 | $586K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.7% | 3,160 | 2,841 | $556K |
| 45384 | 6.3% | 2,857 | 2,618 | $453K | |
| 45388 | 3.3% | 738 | 688 | $237K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.3% | 1,158 | 1,060 | $234K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.2% | 1,132 | 1,060 | $230K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 8,669 | 5,956 | $216K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 3,312 | 2,921 | $134K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,690 | 1,602 | $88K |
11 more codes
| 43450 | <1% | 1,776 | $67K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 841 | $62K |
| 43248 | <1% | 923 | $40K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 662 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 227 | $5K |
| 99439 | <1% | 815 | $137.22 | |
| 99490 | Ccm add 20min | <1% | 850 | $124.96 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $85.35 |
| 99457 | 0% | 42 | $0.00 | |
| 99454 | 0% | 75 | $0.00 | |
| 99441 | 0% | 15 | $0.00 |
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 officialHOLDER, ROY (ADMINISTRATOR)