Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gastroenterology & Hepatology of Central New York, PC

Gastroenterology & Hepatology of Central New York, PC was paid $3.16M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoGASTROENTEROLOGY & HEPATOLOGY OF CENTRAL NEW YORK, PC
LIVERPOOL, NY 13088
33aNPI1043202641assigned 08/19/2005
33bProvider typeAnesthesiology Physician
28Total paid$3.16M
24GClaims39,036
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in New York

Rank by total paid#15 of 493
Median peer was paid$8K
This provider vs. median411×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20183,801$276K
20194,605$369K
20205,792$479K
20217,191$597K
20227,108$574K
20236,747$543K
2024incomplete3,792$325K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 10,351 10,324 $676K
88305 Level IV - Surgical pathology, gross and microscopic examination 19% 6,980 6,933 $599K
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 16% 5,374 5,351 $495K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 10% 3,384 3,384 $324K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.4% 2,311 2,309 $202K
00813 5.4% 1,707 1,704 $172K
00731 5.2% 1,910 1,903 $165K
45380 Colonoscopy, flexible; with biopsy, single or multiple 3.2% 665 664 $102K
88312 3.2% 2,964 2,963 $100K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2.6% 586 583 $83K
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 2.1% 510 510 $65K
00812 1.7% 864 855 $55K
8 more codes
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.2% 212 $39K
00811 1.2% 547 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 447 $28K
99215 Doctor's office visit, returning patient (complex) <1% 101 $14K
43235 <1% 25 $2K
43450 <1% 39 $2K
91200 <1% 29 $651.29
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 30 $468.55

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 officialROMANO, THOMAS (MANAGING PARTNER)