Gastroenterology of West Central Ohio, INC.
Gastroenterology of West Central Ohio, INC. was paid $491K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 30% of everything it billed.
LIMA, OH 45807
Next to other Gastroenterology Physician providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,766 | $105K | |
| 2019 | 5,610 | $87K | |
| 2020 | 4,495 | $70K | |
| 2021 | 5,270 | $78K | |
| 2022 | 4,320 | $60K | |
| 2023 | 2,486 | $64K | |
| 2024incomplete | 1,715 | $28K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30% | 1,876 | 1,691 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,671 | 3,340 | $113K |
| 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 | 15% | 1,684 | 1,510 | $74K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.1% | 263 | 238 | $40K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.5% | 141 | 128 | $27K |
| 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 | 4.6% | 331 | 309 | $22K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 435 | 404 | $20K |
| 43248 | 4.0% | 187 | 174 | $20K | |
| 99223 | Prolong inpt eval add15 m | 2.5% | 337 | 290 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 650 | 233 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.6% | 60 | 50 | $8K |
| 45384 | <1% | 15 | 14 | $2K |
9 more codes
| 99152 | <1% | 19 | $83.94 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,430 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,426 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,925 | $0.00 |
| 4004F | 0% | 1,726 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 373 | $0.00 |
| 1036F | 0% | 3,533 | $0.00 | |
| 3017F | 0% | 2,140 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 440 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Digestive Health & Endoscopy Center LLC | Lima, OH | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.