Merced Gastroenterology Medical Office INC
Merced Gastroenterology Medical Office INC was paid $2.63M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoMERCED GASTROENTEROLOGY MEDICAL OFFICE INC
MERCED, CA 95348
MERCED, CA 95348
33aNPI1902980675assigned 10/25/2006
33bProvider typeSpecialist
28Total paid$2.63M
24GClaims26,852
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#91 of 1,230
Median peer was paid$51K
This provider vs. median51×
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 | 2,672 | $246K | |
| 2019 | 2,869 | $261K | |
| 2020 | 3,315 | $306K | |
| 2021 | 4,021 | $347K | |
| 2022 | 4,367 | $382K | |
| 2023 | 5,438 | $570K | |
| 2024incomplete | 4,170 | $515K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 7,805 | 7,704 | $501K |
| 99243 | 14% | 2,900 | 2,900 | $362K | |
| 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 | 13% | 2,546 | 2,546 | $351K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 13% | 2,248 | 2,234 | $337K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 3,433 | 3,415 | $332K |
| 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 | 9.0% | 2,780 | 2,763 | $236K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.3% | 987 | 982 | $165K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.0% | 737 | 737 | $132K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.3% | 611 | 602 | $88K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,575 | 1,574 | $70K |
| 76981 | <1% | 287 | 287 | $23K | |
| 91200 | <1% | 675 | 675 | $19K |
6 more codes
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 officialMUNNANGI, SIVAKUMAR (PRESIDENT)