Medicare spending analysis for Gastroenterology providers
Gastroenterology accounts for $11.7B in Medicare payments across 133.9K providers.
The specialty's average markup of 4.9x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.3B | 14.4M | 12.5K | — |
| 2015 | $1.3B | 14.4M | 12.7K | -0.6% |
| 2016 | $1.2B | 15.1M | 13.0K | -3.0% |
| 2017 | $1.2B | 15.8M | 13.2K | -2.4% |
| 2018 | $1.2B | 16.2M | 13.4K | +0.1% |
| 2019 | $1.2B | 16.5M | 13.6K | +1.9% |
| 2020 | $994.9M | 14.8M | 13.6K | -18.2% |
| 2021 | $1.1B | 16.3M | 13.8K | +15.6% |
| 2022 | $1.1B | 16.3M | 13.9K | -5.9% |
| 2023 | $1.1B | 16.6M | 14.1K | -0.3% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Jeffrey Weber | WI | $20.8M | 1.0M | $19.98 |
| 2 | Dale Prokupek | CA | $1.9M | 51.0K | $38.02 |
| 3 | Richard Bone | IL | $1.8M | 133.6K | $13.68 |
| 4 | Ronald Michael | TN | $1.5M | 128.3K | $11.74 |
| 5 | Scott Lampert | GA | $1.3M | 29.4K | $45.93 |
| 6 | Moshe Hirth | FL | $1.3M | 51.1K | $25.53 |
| 7 | Terrence Jackson | TN | $1.2M | 58.1K | $20.73 |
| 8 | Arthur Ostrov | NY | $1.1M | 58.7K | $19.33 |
| 9 | Bincy Abraham | TX | $988.3K | 61.7K | $16.01 |
| 10 | Hillary Bownik | MO | $959.7K | 51.8K | $18.54 |
| 11 | Aaron Weiss | FL | $948.0K | 47.0K | $20.17 |
| 12 | Pedram Enayati | CA | $934.2K | 10.6K | $88.10 |
| 13 | Morris Naus | FL | $866.0K | 38.0K | $22.80 |
| 14 | Steven Klein | NC | $864.9K | 43.7K | $19.80 |
| 15 | Mark Allen | MO | $853.3K | 42.3K | $20.18 |
| 16 | Zahoor Makhdoom | IL | $850.9K | 10.0K | $85.27 |
| 17 | Benjamin Basseri | CA | $840.7K | 13.6K | $61.59 |
| 18 | Keivan Golchini | CA | $819.1K | 12.5K | $65.71 |
| 19 | Elliot Ellis | FL | $812.2K | 32.7K | $24.87 |
| 20 | Jacque Noel | LA | $804.6K | 44.1K | $18.26 |
| 21 | Joel Sach | CA | $785.6K | 10.8K | $72.50 |
| 22 | Faisal Sheikh | NY | $759.3K | 9.0K | $84.33 |
| 23 | Samer Al-Shurieki | FL | $721.6K | 30.7K | $23.49 |
| 24 | Juan Sarol | FL | $714.6K | 9.3K | $77.01 |
| 25 | Piyush Jogani | CA | $696.9K | 6.2K | $112.68 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $178.9M | 870.9K | $205.40 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $122.9M | 1.3M | $92.34 |
| 45380 | Biopsy of large bowel using a flexible endoscope | $78.7M | 754.1K | $104.40 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $78.2M | 1.0M | $77.78 |
| J3380 | Injection, vedolizumab, 1 mg | $61.5M | 3.6M | $17.16 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $58.8M | 910.8K | $64.60 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $57.6M | 488.2K | $117.90 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $44.1M | 688.5K | $64.10 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | $35.3M | 194.6K | $181.17 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $33.3M | 324.0K | $102.68 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $26.4M | 191.0K | $138.47 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | $21.3M | 151.7K | $140.18 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $21.1M | 116.1K | $181.71 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $20.8M | 272.3K | $76.47 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $20.7M | 215.2K | $96.25 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $16.6M | 130.0K | $127.51 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $12.8M | 159.6K | $80.53 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | $12.4M | 477.0K | $25.98 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | $10.0M | 349.7K | $28.55 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | $8.9M | 73.5K | $121.23 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.