Physician
Dayton Gastroenterology LLC
Dayton Gastroenterology LLC was paid $3.41M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 32% of everything it billed.
33Billing provider infoDAYTON GASTROENTEROLOGY LLC
DAYTON, OH 45440
DAYTON, OH 45440
33aNPI1134345705assigned 04/18/2007
33bProvider typeGastroenterology Physician
28Total paid$3.41M
24GClaims61,873
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#2 of 59
Median peer was paid$45K
This provider vs. median76×
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 | 9,027 | $441K | |
| 2019 | 10,091 | $567K | |
| 2020 | 7,478 | $409K | |
| 2021 | 9,235 | $516K | |
| 2022 | 8,038 | $423K | |
| 2023 | 8,783 | $462K | |
| 2024incomplete | 9,221 | $589K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 32% | 13,286 | 12,809 | $1.11M |
| 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 | 19% | 13,285 | 12,702 | $661K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10% | 3,625 | 3,468 | $345K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 8,098 | 7,693 | $259K |
| 88312 | 7.0% | 4,130 | 4,019 | $237K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.7% | 10,559 | 4,987 | $230K |
| 99254 | 4.1% | 2,067 | 1,974 | $140K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.7% | 1,685 | 1,646 | $125K |
| 88342 | 2.9% | 1,481 | 1,387 | $99K | |
| 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% | 928 | 877 | $64K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 171 | 163 | $24K |
| 00731 | <1% | 310 | 290 | $21K |
19 more codes
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 94 | $20K |
| 99255 | <1% | 165 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 661 | $13K |
| 00811 | <1% | 188 | $11K | |
| 88313 | <1% | 232 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 272 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 187 | $5K |
| 99245 | <1% | 26 | $3K | |
| 99442 | <1% | 99 | $2K | |
| 43235 | <1% | 25 | $2K | |
| 99243 | <1% | 24 | $1K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | $1K |
| 99441 | <1% | 102 | $1K | |
| 91200 | <1% | 48 | $988.52 | |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $855.58 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $782.51 |
| 99253 | <1% | 12 | $566.35 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $447.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $165.34 |
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 officialMATERNA, KRISTINA (DIRECTOR, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Gastroenterology Health Partners, PLLC | Lousiville, KY | $3.12M |
| Transsouth Health Care PLLC | Jackson, TN | $1.37M |
| Gastroenterology Center of the Midsouth PLLC | Germantown, TN | $886K |
| Endoscopy Center of North Mississippi,llc | Oxford, MS | $77K |
| Gastroenterology Associates Va, LLC | Gainesville, VA | $42K |
| DHS Anesthesia, LLC | Tupelo, MS | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.