Physician
Gastrointestinal Specialists Foundation, INC
Gastrointestinal Specialists Foundation, INC was paid $2.44M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 24% of everything it billed.
33Billing provider infoGASTROINTESTINAL SPECIALISTS FOUNDATION, INC
MEMPHIS, TN 38120
MEMPHIS, TN 38120
33aNPI1942546452assigned 01/02/2013
33bProvider typeGastroenterology Physician
28Total paid$2.44M
24GClaims96,388
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#1 of 50
Median peer was paid$19K
This provider vs. median131×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more
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 | 15,741 | $571K | |
| 2019 | 12,163 | $371K | |
| 2020 | 12,385 | $326K | |
| 2021 | 15,853 | $401K | |
| 2022 | 13,714 | $314K | |
| 2023 | 15,086 | $263K | |
| 2024incomplete | 11,446 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 7,172 | 5,697 | $594K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 36,785 | 12,699 | $534K |
| 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 | 14% | 5,443 | 4,636 | $346K |
| 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% | 7,735 | 6,375 | $265K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 8.1% | 4,917 | 4,318 | $197K |
| 00731 | 4.9% | 1,751 | 1,564 | $119K | |
| 88312 | 3.2% | 2,742 | 2,442 | $79K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.7% | 623 | 529 | $67K |
| 00811 | 2.2% | 958 | 851 | $53K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 2,149 | 1,645 | $50K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 392 | 285 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,550 | 1,352 | $33K |
21 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 3,830 | $31K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 264 | $11K |
| 99254 | <1% | 82 | $6K | |
| 88342 | <1% | 253 | $6K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 46 | $4K |
| 00812 | <1% | 28 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 73 | $1K |
| 3078F | <1% | 4,926 | $1K | |
| 3074F | <1% | 4,763 | $990.00 | |
| 00813 | <1% | 15 | $972.04 | |
| 3008F | <1% | 470 | $550.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 254 | $466.51 |
| 99205 | Prolong outpt/office vis | <1% | 14 | $357.16 |
| 3077F | <1% | 1,827 | $330.00 | |
| 88341 | <1% | 13 | $284.52 | |
| 3079F | <1% | 1,306 | $180.00 | |
| 3075F | <1% | 400 | $60.00 | |
| 3080F | <1% | 512 | $50.00 | |
| 1126F | 0% | 111 | $0.00 | |
| 1159F | 0% | 4,312 | $0.00 | |
| 1160F | 0% | 672 | $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 officialDUCKETT, GREGORY (SR VP/CLO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.