Gastroenterology Associates, Pear M. Enam, M.D., PA
Gastroenterology Associates, Pear M. Enam, M.D., PA was paid $225K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoGASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
33aNPI1104934942assigned 08/29/2006
33bProvider typeSpecialist
28Total paid$225K
24GClaims3,107
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#81 of 218
Median peer was paid$88K
This provider vs. median2.6×
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 | 636 | $43K | |
| 2019 | 409 | $26K | |
| 2020 | 323 | $25K | |
| 2021 | 894 | $65K | |
| 2022 | 416 | $35K | |
| 2023 | 296 | $22K | |
| 2024incomplete | 133 | $10K |
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 | 47% | 1,339 | 1,214 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 647 | 629 | $42K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 14% | 406 | 354 | $31K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.3% | 70 | 70 | $12K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.6% | 142 | 135 | $10K |
| 88342 | 3.0% | 120 | 83 | $7K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.0% | 57 | 55 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 88 | 37 | $4K |
| 88313 | 1.1% | 104 | 82 | $2K | |
| 99254 | 1.0% | 15 | 14 | $2K | |
| 88312 | <1% | 16 | 13 | $812.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 103 | 102 | $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 officialBLIZZARD, STACEY (OFFICE MANAGER)