Advanced Gastroenterology Associates, PA

Advanced Gastroenterology Associates, PA was paid $6K by Medicaid between Feb 2018 and Mar 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoADVANCED GASTROENTEROLOGY ASSOCIATES, PA
DECATUR, TX 76234

33aNPI1003049032assigned 08/25/2009

33bProvider typeGastroenterology Physician

28Total paid$6K

24GClaims2,545

24DCodes billed16

24AFirst – last monthFeb 2018 – Mar 2024

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#53 of 91

Median peer was paid$8K

This provider vs. median0.8×

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

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

Year	Claims	Paid
2018	431	$314.85
2019	1,241	$0.00
2020	510	$0.00
2021	103	$986.86
2022	148	$439.48
2023	98	$3K
2024incomplete	14	$845.11

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	53%	156	147	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	33%	33	31	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	15%	14	14	$845.11
4004F		0%	401	165	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	233	201	$0.00
G9909	Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason)	0%	165	153	$0.00
G9905	Patient not screened for tobacco use	0%	165	153	$0.00
G9904	Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)	0%	165	153	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	165	153	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	165	153	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	165	153	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	34	26	$0.00

4 more codes

G9908	Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	165	$0.00
1036F		0%	177	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	177	$0.00
G9907	Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)	0%	165	$0.00

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 officialASIM, MUHAMMAD (PRESIDENT)