Central Coast Gastroenterology Medical Group

Central Coast Gastroenterology Medical Group was paid $85K by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoCENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
TEMPLETON, CA 93465

33aNPI1922145481assigned 01/31/2007

33bProvider typeGastroenterology Physician

28Total paid$85K

24GClaims1,040

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#166 of 363

Median peer was paid$55K

This provider vs. median1.6×

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	463	$37K
2019	471	$32K
2020	106	$16K

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	32%	481	465	$27K
99243		29%	194	194	$24K
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	11%	140	133	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.4%	107	107	$8K
99244	Office or other outpatient consultation, moderate to high complexity	6.6%	30	30	$6K
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	5.1%	39	39	$4K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	5.1%	12	12	$4K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.2%	24	24	$1K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	13	13	$756.38

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 officialRODGERS, VANCE (PARTNER)