Valley Gastroenterology PS
Valley Gastroenterology PS was paid $43K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoVALLEY GASTROENTEROLOGY PS
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
33aNPI1861507030assigned 08/20/2006
33bProvider typeSpecialist
28Total paid$43K
24GClaims1,683
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Specialist providers in Washington
Rank by total paid#51 of 96
Median peer was paid$49K
This provider vs. median0.9×
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 | 715 | $17K | |
| 2019 | 572 | $13K | |
| 2020 | 396 | $12K |
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 | 49% | 552 | 524 | $21K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 26% | 311 | 274 | $11K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 132 | 105 | $6K |
| 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) | 8.3% | 635 | 562 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 53 | 50 | $2K |
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 officialCRAIG, PAUL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Working With Autism, INC. | Sherman Oaks, CA | $4.39M |
| Paul L. Craig, PH.D., PC | Anchorage, AK | $1.04M |
| Valley Gastroenterology PS | Spokane Valley, WA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.