Advanced Gastroenterology, LLC

Advanced Gastroenterology, LLC was paid $57K by Medicaid between Jun 2018 and Sep 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoADVANCED GASTROENTEROLOGY, LLC
VINCENNES, IN 47591

33aNPI1083851042assigned 01/13/2009

33bProvider typePhysician Assistant

28Total paid$57K

24GClaims1,213

24DCodes billed11

24AFirst – last monthJun 2018 – Sep 2024

Compared with peers

Next to other Physician Assistant providers in Indiana

Rank by total paid#33 of 52

Median peer was paid$211K

This provider vs. median0.3×

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	154	$1K
2019	364	$10K
2020	185	$10K
2021	110	$9K
2022	116	$8K
2023	192	$13K
2024incomplete	92	$5K

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	62%	794	650	$35K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	31%	219	196	$18K
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	2.0%	12	12	$1K
43235		1.9%	14	14	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	18	15	$826.42
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.4%	16	16	$800.70
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	13	12	$0.00
G8732	No documentation of pain assessment, reason not given	0%	44	42	$0.00
1036F		0%	13	13	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	54	52	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	16	14	$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 officialSANDY, REGINALD (PHYSICIAN)