Physician
The Gastroenterology Practice PLLC
The Gastroenterology Practice PLLC was paid $30K by Medicaid between May 2023 and Oct 2024, across 7 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 42% of everything it billed.
33Billing provider infoTHE GASTROENTEROLOGY PRACTICE PLLC
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1083178651assigned 01/28/2019
33bProvider typeGastroenterology Physician
28Total paid$30K
24GClaims326
24DCodes billed7
24AFirst – last monthMay 2023 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#254 of 656
Median peer was paid$12K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2023 | 143 | $12K | |
| 2024incomplete | 183 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 42% | 91 | 81 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 27 | 27 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 65 | 61 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.7% | 30 | 30 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 48 | 12 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.4% | 25 | 24 | $2K |
| 88313 | 3.8% | 40 | 37 | $1K |
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 officialSHAH, MITANSHU (MD)