Medicaid Provider Spending

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

EDMUNDS GASTROENTEROLOGY, PLLC

NPI: 1972084069 · KNOXVILLE, TN 37909 · Gastroenterology Physician · NPI assigned 08/27/2018

$380K
Total Medicaid Paid
8,376
Total Claims
6,807
Beneficiaries
15
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENKINS, PAT (CREDENTIALING SPECIALIST)
NPI Enumeration Date08/27/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 136 $4K
2020 566 $20K
2021 892 $24K
2022 1,744 $66K
2023 2,805 $145K
2024 2,233 $121K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,602 1,118 $120K
43249 278 150 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,214 1,042 $43K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,380 1,167 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 950 807 $29K
45380 Colonoscopy, flexible; with biopsy, single or multiple 182 158 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 322 292 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 618 513 $12K
88342 931 784 $9K
88313 667 572 $6K
99215 Prolong outpt/office vis 111 97 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 12 $2K
88312 56 52 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $376.48
99442 40 31 $197.51