Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTROINTESTINAL SPECIALISTS FOUNDATION, INC

NPI: 1942546452 · MEMPHIS, TN 38120 · Gastroenterology Physician · NPI assigned 01/02/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$2.44M
Total Medicaid Paid
96,388
Total Claims
60,959
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/CLO)
NPI Enumeration Date01/02/2013

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. COLUMBUS MS $56.02M
BAPTIST MEMORIAL HOSPITAL MEMPHIS TN $51.45M
MISSISSIPPI BAPTIST MEDICAL CENTER, INC. JACKSON MS $42.05M
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, SOUTHAVEN MS $41.70M
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
BAPTIST MEMORIAL HOSPITAL-TIPTON COVINGTON TN $13.88M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. JACKSON MS $7.52M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,446 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7,172 5,697 $594K
99232 Subsequent hospital care, per day, moderate complexity 36,785 12,699 $534K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,443 4,636 $346K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,735 6,375 $265K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,917 4,318 $197K
00731 1,751 1,564 $119K
88312 2,742 2,442 $79K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 623 529 $67K
00811 958 851 $53K
99222 Initial hospital care, per day, moderate complexity 2,149 1,645 $50K
45380 Colonoscopy, flexible; with biopsy, single or multiple 392 285 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,550 1,352 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,830 1,673 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 264 220 $11K
99254 82 70 $6K
88342 253 227 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 46 37 $4K
00812 28 26 $2K
99233 Prolong inpt eval add15 m 73 45 $1K
3078F 4,926 4,085 $1K
3074F 4,763 4,007 $990.00
00813 15 13 $972.04
3008F 470 424 $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) 254 197 $466.51
99205 Prolong outpt/office vis 14 12 $357.16
3077F 1,827 1,508 $330.00
88341 13 13 $284.52
3079F 1,306 1,095 $180.00
3075F 400 339 $60.00
3080F 512 434 $50.00
1126F 111 77 $0.00
1159F 4,312 3,487 $0.00
1160F 672 577 $0.00