Physician
Downtown Gastroenterology Associates PC
Downtown Gastroenterology Associates PC was paid $4.03M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.
33Billing provider infoDOWNTOWN GASTROENTEROLOGY ASSOCIATES PC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1003976960assigned 12/11/2006
33bProvider typeGastroenterology Physician
28Total paid$4.03M
24GClaims23,422
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#14 of 656
Median peer was paid$12K
This provider vs. median332×
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 | 2,842 | $459K | |
| 2019 | 3,823 | $514K | |
| 2020 | 2,933 | $347K | |
| 2021 | 3,434 | $598K | |
| 2022 | 3,614 | $758K | |
| 2023 | 4,262 | $878K | |
| 2024incomplete | 2,514 | $480K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 39% | 5,123 | 5,100 | $1.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,399 | 5,352 | $480K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 1,547 | 1,542 | $449K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 3,727 | 3,727 | $447K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10% | 1,147 | 1,143 | $420K |
| 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 | 6.5% | 1,496 | 1,496 | $262K |
| 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 | 3.4% | 1,016 | 1,011 | $139K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.6% | 950 | 886 | $106K |
| 88312 | <1% | 520 | 519 | $37K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 686 | 663 | $30K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 93 | 92 | $26K |
| 88313 | <1% | 470 | 469 | $25K |
5 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 334 | $8K |
| 88342 | <1% | 471 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $3K |
| 99000 | <1% | 326 | $111.49 |
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 officialCHU, DANNY (PRESIDENT)