Alexander Podboy, MD, DABOM

Associate Professor of Medicine @MUSC | @CedarsSinai @MayoClinic and @Stanford_GI Alum|

[Himesh Zaver, MD, MSCR @HZaverMD]

It was an honor representing @uvagastro at @DDWMeeting!
I got to share my @MedicineUVA MSCR thesis regarding divergent patterns in telehealth access in GI!
Thank you @AlexanderPodboy for the mentorship!

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

Thanks to @MUSCSurgery and @bsc_endoscopy for the opportunity to speak on Bariatric Endoscopy

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@GVanell5 @endoscopyjrnl @MBronswijkMD @BSCEMEA_Endo It’s coincidental that you noted this only happens with th 6,8, and 20s and those items were recalled here in the US

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@WasseemSkefMD Hahaha I may be more naive and assume that people would throw in the occasional diagnostic colon…

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

I nerded out and looked at the Medicaid data files from a GI perspective.
And the findings are wild.

Of the 4.1 million colonoscopy claims from 2018-2024

Only 23% were billed as purely diagnostic (45378)

What was even weirder was among high volume proceduralists (>1000 cases)

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

If truly aberrant, that’s potentially over 17 million in overcharges to Medicaid in a 7 year period on colonoscopy claims alone.

More smoke than fire, but interesting nonetheless

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

When adjusting for provider location, it was overwhelmingly individual providers rather than ASCs or Hospitals that preferentially billed lower diagnostic codes. With some specific States more prone that others.

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@AhmadBazarbashi @EndoscopyOthman @A_Qatomah @ThirdspaceEndo @AlmuhaidbAymen @alhaddad_mo @MoamenGabrMD @KeihanianTara @HilarHolzy @BilalMohammadMD @BalissMichelle I’d be worried it’s a huge feeder vessel. Defect is massive but do you think you could oversew the defect?

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

Hi Vikas, thanks for your work on this, very interesting and robust analysis.
However I noticed that the sub-speciality analysis is very granular (cardiology alone) and doesn’t capture interspeciality subspeciality ( like interventional cardiology vs structural cards, or general GI vs therapeutic GI)

Do you think some of the gap could be explained by gender differences in subspecialities?

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@StudentLoanTrav At least over 12 months

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@WFNYScott This 💯

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@MoreForYou_CLE Joke of a franchise firing two time coach of the year but not the GM responsible for the worst signing in NFL history… peak browns

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

The em dash scourge in medical research has reached pandemic levels.

“No one” is using chat gpt but every review now has em dashes every where

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

Congratulations to all those that matched! GI remains a ridiculously competitive match with only 6 out of 10 applicants matching into a position

[Bryan Carmody @jbcarmody]

Positions filled and match rates for the 2025 NRMP Medicine and Pediatric Specialties Fellowship Match

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

Honored to have spent these past years at UVA working alongside dedicated colleagues and caring for remarkable patients. Thank you for the support and collaboration.

Looking forward to the next step in South Carolina!

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@DrBloodandGuts @bostonsci The use of distal fixation is also very interesting do you always fix the distal end?

I’ve used the mantis for LAMS fixation with similarly good results but haven’t used it for FCMS

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

My reaction when apparently there’s a grand criminal conspiracy occurring around you at work

[Alexander Podboy, MD, DABOM @AlexanderPodboy]

@Babygravy9 A it

[Himesh Zaver, MD, MSCR @HZaverMD]

So grateful to stay on this incredible @uvagastro team for Advanced Endoscopy Fellowship! Thank you Drs. Dan Strand, @AndrewWangMD, Vanessa Shami, Ross Buerlein, @BryanGSauer, @AlexanderPodboy, and Andy Copland for the opportunity! I am fired up! @ASGEendoscopy #2025AEFMATCH