Medicaid Provider Spending

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

METROPOLITAN GASTROENTEROLOGY ASSOCIATES APMC

NPI: 1902822547 · MARRERO, LA 70072 · Gastroenterology Physician · NPI assigned 07/15/2006

$1.25M
Total Medicaid Paid
22,176
Total Claims
19,590
Beneficiaries
17
Codes Billed
2018-01
First Month
2021-02
Last Month

Provider Details

Authorized OfficialHAMBACHER, KARL (ADMINISTRATOR)
NPI Enumeration Date07/15/2006

Related Entities

Other providers sharing the same authorized official: HAMBACHER, KARL

ProviderCityStateTotal Paid
METROPOLITAN ANESTHESIA LLC MARRERO LA $202K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,667 $767K
2019 4,489 $229K
2020 3,847 $187K
2021 1,173 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 5,318 4,912 $490K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,219 2,976 $124K
88312 2,566 2,404 $118K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,180 3,864 $109K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 775 722 $103K
99232 Subsequent hospital care, per day, moderate complexity 2,813 1,716 $75K
99215 Prolong outpt/office vis 537 486 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 561 537 $43K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 122 113 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 762 715 $25K
99205 Prolong outpt/office vis 190 184 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 114 103 $21K
99222 Initial hospital care, per day, moderate complexity 521 419 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 364 337 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 36 $8K
99223 Prolong inpt eval add15 m 55 38 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 40 28 $629.77