Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gastroenterology Center of the South, Apmc

Gastroenterology Center of the South, Apmc was paid $16K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 79% of everything it billed.

33Billing provider infoGASTROENTEROLOGY CENTER OF THE SOUTH, APMC
HOUMA, LA 70360
33aNPI1992723571assigned 07/18/2006
28Total paid$16K
24GClaims756
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Gastroenterology Physician providers in Louisiana

Rank by total paid#26 of 33
Median peer was paid$83K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018205$2K
201989$2K
2020199$6K
202173$2K
202360$3K
2024incomplete130$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 79% 388 332 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 298 280 $2K
43235 7.4% 38 37 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 32 25 $481.94

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 officialPELLEGRIN, DAVID (PRESIDENT)