Valdosta Gastroenterology Associates, LLC

Valdosta Gastroenterology Associates, LLC was paid $12K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 52% of everything it billed.

33Billing provider infoVALDOSTA GASTROENTEROLOGY ASSOCIATES, LLC
VALDOSTA, GA 31602

33aNPI1114962255assigned 06/20/2006

33bProvider typeGastroenterology Physician

28Total paid$12K

24GClaims1,409

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Gastroenterology Physician providers in Georgia

Rank by total paid#8 of 13

Median peer was paid$23K

This provider vs. median0.5×

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	773	$6K
2019	636	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	52%	524	473	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	460	413	$3K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	21%	64	49	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.3%	29	13	$397.02
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%	332	266	$90.00

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 officialWARD, ERIC (PHYSICIAN)

Same official

Other billing entities under WARD, ERIC

Full network →

Provider	Location	Paid
Enhancing Life Senior Day Center	Fredericksburg, VA	$188K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.