Physician
Gastrointestinal Associates, P.A.
Gastrointestinal Associates, P.A. was paid $4.93M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 37% of everything it billed.
33Billing provider infoGASTROINTESTINAL ASSOCIATES, P.A.
FLOWOOD, MS 39232
FLOWOOD, MS 39232
33aNPI1093765604assigned 05/12/2006
33bProvider typePediatric Gastroenterology Physician
28Total paid$4.93M
24GClaims95,097
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Mississippi
Rank by total paid#1 of 5
Median peer was paid$108K
This provider vs. median46×
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 | 17,411 | $1.17M | |
| 2019 | 15,054 | $1.03M | |
| 2020 | 13,234 | $632K | |
| 2021 | 18,813 | $793K | |
| 2022 | 18,643 | $606K | |
| 2023 | 7,375 | $436K | |
| 2024incomplete | 4,567 | $269K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 37% | 17,297 | 14,072 | $1.84M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 7,355 | 6,494 | $751K |
| 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 | 12% | 12,283 | 11,151 | $581K |
| 88342 | 7.0% | 6,770 | 5,572 | $347K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 8,940 | 8,109 | $337K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.1% | 2,425 | 2,185 | $299K |
| 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 | 5.2% | 3,108 | 2,818 | $256K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.1% | 1,565 | 1,317 | $153K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 3,799 | 2,102 | $62K |
| 99490 | Ccm add 20min | <1% | 5,519 | 5,098 | $42K |
| 99243 | <1% | 443 | 386 | $37K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 503 | 465 | $37K |
49 more codes
| 80050 | General health panel | <1% | 650 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,093 | $18K |
| 80053 | Comprehensive metabolic panel | <1% | 1,864 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,027 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,218 | $11K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 283 | $10K |
| 87507 | <1% | 32 | $10K | |
| 00731 | <1% | 183 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 67 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 176 | $5K |
| 86140 | <1% | 1,371 | $5K | |
| 99439 | <1% | 3,893 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 127 | $4K |
| 99254 | <1% | 85 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 449 | $4K |
| 99442 | <1% | 170 | $4K | |
| 43248 | <1% | 175 | $3K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 17 | $3K |
| 99454 | <1% | 767 | $3K | |
| 00811 | <1% | 67 | $3K | |
| 43246 | <1% | 124 | $3K | |
| 80076 | <1% | 527 | $3K | |
| 83690 | <1% | 512 | $3K | |
| 99441 | <1% | 170 | $3K | |
| 82150 | <1% | 504 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 335 | $2K |
| 00813 | <1% | 28 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 84 | $1K |
| 45331 | <1% | 14 | $1K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 66 | $1K |
| 99487 | Ccm add 20min | <1% | 71 | $1K |
| 99443 | <1% | 42 | $956.70 | |
| 84439 | <1% | 86 | $828.15 | |
| 91200 | <1% | 360 | $822.57 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 109 | $733.49 |
| 99457 | <1% | 380 | $686.36 | |
| 43235 | <1% | 66 | $556.64 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 58 | $513.34 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 24 | $330.60 |
| 82270 | <1% | 29 | $107.78 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 64 | $91.68 |
| 82728 | <1% | 17 | $12.27 | |
| 84466 | <1% | 16 | $11.48 | |
| 83540 | <1% | 16 | $5.82 | |
| 99453 | <1% | 16 | $1.60 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 1,421 | $0.00 |
| 99489 | Ccm add 20min | 0% | 16 | $0.00 |
| 76981 | 0% | 169 | $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 officialDOTHEROW, PIERCE (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Gastrointestinal Associates Endoscopy Center, LLC | Flowood, MS | $3.36M |
| Gastrointestinal Associates Endoscopy Center, LLC | Madison, MS | $433K |
| Gastrointestinal Associates Endoscopy Center, LLC | Vicksburg, MS | $14K |
| Gastrointestinal Associates, P.A. | Vicksburg, MS | $133.58 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.