GASTROENTEROLOGY CONSULTANTS, LTD
880 RYLAND ST, RENO, NV 89502
NPI Number
1144218512
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$1,358,183
+175% vs specialty average
Patients Seen
16,466
Total Claims
18,024
$ Per Patient
$82
Specialty avg: $67
Specialty Rank
#8 of 71
Specialist providers in Nevada
Peer Average
$494,632
Average total for Specialist
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $115,071 | |
| 2019 | $278,183 | |
| 2020 | $259,055 | |
| 2021 | $314,542 | |
| 2022 | $214,040 | |
| 2023 | $87,973 | |
| 2024 | $89,319 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 6,044 | $449,906 | 33.1% | $74 |
| 88305 | Tissue examination under a microscope (surgical pathology) | 6,305 | $441,666 | 32.5% | $70 |
| 99204 | New patient office visit — detailed visit for a serious problem | 1,396 | $189,074 | 13.9% | $135 |
| 99213 | Office visit for a simple problem (established patient) | 2,660 | $110,498 | 8.1% | $42 |
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 476 | $42,962 | 3.2% | $90 |
| 99244 | Office consultation — serious problem | 229 | $33,640 | 2.5% | $147 |
| 00731 | Anesthesia for a medical procedure | 241 | $23,555 | 1.7% | $98 |
| 45385 | Colonoscopy with removal of polyps (growths) | 89 | $21,924 | 1.6% | $246 |
| 99215 | Office visit for a complex or serious problem (established patient) | 92 | $9,202 | 0.7% | $100 |
| 45380 | Colonoscopy with biopsy (tissue sample) | 55 | $7,820 | 0.6% | $142 |
| 99205 | New patient office visit — comprehensive visit for a complex problem | 31 | $5,487 | 0.4% | $177 |
| 99232 | Hospital care — daily check by your doctor (moderate update) | 84 | $5,090 | 0.4% | $61 |
| 00812 | Anesthesia for a medical procedure | 41 | $3,392 | 0.2% | $83 |
| 99233 | Hospital care — daily check by your doctor (complex update) | 44 | $3,218 | 0.2% | $73 |
| 99203 | New patient office visit — moderate problem | 28 | $2,543 | 0.2% | $91 |
| 99223 | Hospital admission — first day, complex or serious problem | 16 | $2,093 | 0.2% | $131 |
| 99222 | Hospital admission — first day, moderate to serious problem | 14 | $1,661 | 0.1% | $119 |
| 76981 | Ultrasound | 15 | $1,621 | 0.1% | $108 |
| 00813 | Anesthesia for a medical procedure | 13 | $1,587 | 0.1% | $122 |
| 99212 | Office visit for a minor problem (established patient) | 48 | $1,173 | 0.1% | $24 |
| 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 se... | 103 | $71 | 0.0% | $1 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.