Physician
Gastrointestinal and Liver Consultants INC.
Gastrointestinal and Liver Consultants INC. was paid $6.25M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 29% of everything it billed.
33Billing provider infoGASTROINTESTINAL AND LIVER CONSULTANTS INC.
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1932578028assigned 09/18/2015
33bProvider typeGastroenterology Physician
28Total paid$6.25M
24GClaims49,451
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#6 of 363
Median peer was paid$55K
This provider vs. median114×
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 | 3,506 | $398K | |
| 2019 | 3,783 | $390K | |
| 2020 | 2,576 | $170K | |
| 2021 | 3,701 | $382K | |
| 2022 | 5,629 | $621K | |
| 2023 | 10,710 | $1.32M | |
| 2024incomplete | 19,546 | $2.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 29% | 4,369 | 4,323 | $1.84M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 15% | 2,901 | 2,891 | $939K |
| 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 | 15% | 10,623 | 10,576 | $913K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 4,655 | 4,629 | $835K |
| 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% | 15,814 | 15,496 | $805K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.0% | 1,474 | 1,474 | $373K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 2.9% | 3,290 | 3,278 | $184K |
| 99152 | 2.7% | 2,450 | 2,404 | $166K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,151 | 1,151 | $77K |
| 99205 | Prolong outpt/office vis | <1% | 392 | 392 | $56K |
| 99223 | Prolong inpt eval add15 m | <1% | 306 | 295 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 437 | 150 | $13K |
4 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 250 | $10K |
| 99153 | Mod sedat endo service >5yrs | <1% | 259 | $9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,063 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 17 | $787.76 |
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 officialQURAISHI, ESSAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Orange County Digestive Center, INC | Irvine, CA | $5.69M |
| Orange County Digestive Anesthesia, INC. | Santa Ana, CA | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.