Physician
Gastroenterology Associates INC
Gastroenterology Associates INC was paid $260K by Medicaid between Feb 2018 and Nov 2024, across 12 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 34% of everything it billed.
33Billing provider infoGASTROENTEROLOGY ASSOCIATES INC
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1093723546assigned 08/03/2006
33bProvider typeGastroenterology Physician
28Total paid$260K
24GClaims2,325
24DCodes billed12
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Rhode Island
Rank by total paid#1 of 31
Median peer was paid$7K
This provider vs. median35×
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 | 87 | $6K | |
| 2019 | 118 | $9K | |
| 2020 | 105 | $10K | |
| 2021 | 266 | $25K | |
| 2022 | 331 | $43K | |
| 2023 | 1,188 | $149K | |
| 2024incomplete | 230 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 34% | 783 | 764 | $88K |
| 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 | 30% | 698 | 673 | $79K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 14% | 113 | 113 | $38K |
| 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 | 5.2% | 234 | 231 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.1% | 113 | 112 | $13K |
| 00813 | 3.6% | 77 | 75 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 171 | 160 | $7K |
| 00731 | 1.8% | 55 | 55 | $5K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.1% | 13 | 13 | $3K |
| 00811 | <1% | 24 | 24 | $2K | |
| 00812 | <1% | 15 | 15 | $1K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 29 | 29 | $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 officialGREENSPAN, NEIL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Endoscopy Associates, LLC | Providence, RI | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.