Gastroenterology Specialties, P.C.
Gastroenterology Specialties, P.C. was paid $960K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 79% of everything it billed.
33Billing provider infoGASTROENTEROLOGY SPECIALTIES, P.C.
LINCOLN, NE 68503
LINCOLN, NE 68503
33aNPI1083747380assigned 03/14/2007
33bProvider typeSpecialist
28Total paid$960K
24GClaims9,285
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Nebraska
Rank by total paid#2 of 14
Median peer was paid$105K
This provider vs. median9.2×
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 | 376 | $41K | |
| 2019 | 554 | $61K | |
| 2020 | 734 | $72K | |
| 2021 | 2,090 | $211K | |
| 2022 | 1,862 | $196K | |
| 2023 | 1,794 | $217K | |
| 2024incomplete | 1,875 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 79% | 4,509 | 4,400 | $758K |
| 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% | 3,513 | 3,454 | $154K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.8% | 253 | 242 | $17K |
| 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 | 1.7% | 202 | 199 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 163 | 86 | $5K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 26 | 24 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | 12 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 55 | 54 | $2K |
| 00812 | <1% | 14 | 14 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 538 | 529 | $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 officialGRIFFIN, MARK (BOARD PRESIDENT)