Gastrointestinal Group
Gastrointestinal Group was paid $99K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
ROCHESTER, NY 14642
Next to other Gastroenterology Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 282 | $7K | |
| 2019 | 520 | $18K | |
| 2020 | 376 | $20K | |
| 2021 | 304 | $16K | |
| 2022 | 200 | $11K | |
| 2023 | 256 | $23K | |
| 2024incomplete | 49 | $3K |
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 | 28% | 292 | 288 | $28K |
| 99443 | 12% | 177 | 177 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 165 | 165 | $11K |
| 99152 | 7.4% | 602 | 599 | $7K | |
| 91065 | 7.3% | 190 | 177 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | 6.8% | 66 | 65 | $7K |
| 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 | 6.8% | 50 | 50 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.6% | 60 | 60 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 42 | 42 | $6K |
| 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) | 2.9% | 266 | 266 | $3K |
| 99442 | 2.0% | 40 | 40 | $2K | |
| 99221 | 1.9% | 25 | 25 | $2K |
1 more codes
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.