Physician
Modesto Gastroenterology Medical Corporation
Modesto Gastroenterology Medical Corporation was paid $397K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 56% of everything it billed.
33Billing provider infoMODESTO GASTROENTEROLOGY MEDICAL CORPORATION
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1881748846assigned 01/23/2007
33bProvider typeGastroenterology Physician
28Total paid$397K
24GClaims4,074
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#97 of 363
Median peer was paid$55K
This provider vs. median7.2×
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 | 364 | $34K | |
| 2019 | 471 | $47K | |
| 2020 | 610 | $56K | |
| 2021 | 559 | $45K | |
| 2022 | 617 | $55K | |
| 2023 | 976 | $90K | |
| 2024incomplete | 477 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 56% | 1,489 | 1,478 | $221K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 16% | 315 | 311 | $64K |
| 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 | 13% | 1,331 | 1,316 | $51K |
| 99205 | Prolong outpt/office vis | 5.7% | 289 | 288 | $23K |
| 99152 | 4.1% | 297 | 276 | $16K | |
| 99245 | 1.7% | 57 | 57 | $7K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.0% | 12 | 12 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | 14 | $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 | <1% | 81 | 78 | $2K |
| 99243 | <1% | 27 | 27 | $2K | |
| 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% | 27 | 27 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | 75 | $964.90 |
1 more codes
| 99153 | Mod sedat endo service >5yrs | <1% | 58 | $787.14 |
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 officialMAGDY, ELSAKR (PRESIDENT)