Physician
Eastern Pennsylvania Gastroenterology & Liver Specialists P C
Eastern Pennsylvania Gastroenterology & Liver Specialists P C was paid $58K by Medicaid between Jan 2021 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoEASTERN PENNSYLVANIA GASTROENTEROLOGY & LIVER SPECIALISTS P C
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1104874064assigned 05/04/2006
33bProvider typeGastroenterology Physician
28Total paid$58K
24GClaims1,452
24DCodes billed7
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#33 of 178
Median peer was paid$6K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2021 | 229 | $12K | |
| 2022 | 361 | $13K | |
| 2023 | 542 | $18K | |
| 2024incomplete | 320 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 863 | 852 | $25K |
| 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 | 29% | 366 | 360 | $17K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 119 | 116 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 64 | 64 | $2K |
| 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 | 1.9% | 12 | 12 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 15 | 12 | $933.24 |
| 99255 | 1.1% | 13 | 13 | $666.75 |
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 officialAUTERI, ANTHONY (PHYSICIAN)