Physician
Texas Midwest Gastroenterology Center, PA
Texas Midwest Gastroenterology Center, PA was paid $896K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 24% of everything it billed.
33Billing provider infoTEXAS MIDWEST GASTROENTEROLOGY CENTER, PA
ABILENE, TX 79606
ABILENE, TX 79606
33aNPI1912194317assigned 09/28/2007
33bProvider typeGastroenterology Physician
28Total paid$896K
24GClaims17,707
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Texas
Rank by total paid#1 of 91
Median peer was paid$8K
This provider vs. median117×
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 | 467 | $6K | |
| 2019 | 1,562 | $5K | |
| 2020 | 3,156 | $28K | |
| 2021 | 3,021 | $186K | |
| 2022 | 2,919 | $298K | |
| 2023 | 3,624 | $244K | |
| 2024incomplete | 2,958 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 24% | 1,191 | 1,078 | $215K |
| 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 | 19% | 4,995 | 4,607 | $170K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 1,438 | 1,376 | $153K |
| 88312 | 12% | 688 | 637 | $109K | |
| 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 | 9.4% | 1,192 | 1,116 | $85K |
| 88313 | 9.3% | 688 | 637 | $83K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.2% | 364 | 348 | $64K |
| 99223 | Prolong inpt eval add15 m | <1% | 121 | 116 | $9K |
| 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% | 286 | 283 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 101 | 42 | $2K |
| 78268 | <1% | 31 | 27 | $2K | |
| 43249 | <1% | 13 | 12 | $840.65 |
23 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $219.81 |
| 78267 | <1% | 31 | $213.67 | |
| G8913 | Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event | <1% | 438 | $0.01 |
| G8911 | Patient documented not to have experienced a fall within ambulatory surgical center | <1% | 438 | $0.01 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | <1% | 438 | $0.01 |
| G8909 | Patient documented not to have received a burn prior to discharge | <1% | 438 | $0.01 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | <1% | 438 | $0.01 |
| 1124F | 0% | 45 | $0.00 | |
| 4040F | 0% | 63 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 908 | $0.00 |
| 3288F | 0% | 96 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 269 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 260 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 286 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 174 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 355 | $0.00 |
| 3017F | 0% | 380 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 678 | $0.00 |
| 1111F | 0% | 310 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 383 | $0.00 |
| 1123F | 0% | 79 | $0.00 | |
| G9612 | Photodocumentation of two or more cecal landmarks to establish a complete examination | 0% | 62 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $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 officialPATEL, YOGESHKUMAR (PRESIDENT)