Physician
Virginia Gastroenterology Institute PC
Virginia Gastroenterology Institute PC was paid $181K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.
33Billing provider infoVIRGINIA GASTROENTEROLOGY INSTITUTE PC
FRANKLIN, VA 23851
FRANKLIN, VA 23851
33aNPI1134593494assigned 11/23/2015
33bProvider typeGastroenterology Physician
28Total paid$181K
24GClaims2,884
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#14 of 40
Median peer was paid$68K
This provider vs. median2.7×
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 | 60 | $621.47 | |
| 2019 | 1,052 | $51K | |
| 2020 | 722 | $48K | |
| 2021 | 281 | $25K | |
| 2022 | 308 | $17K | |
| 2023 | 170 | $12K | |
| 2024incomplete | 291 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 588 | 544 | $52K |
| 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 | 22% | 685 | 608 | $39K |
| 99223 | Prolong inpt eval add15 m | 17% | 456 | 371 | $32K |
| 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% | 534 | 482 | $21K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 11% | 90 | 86 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 105 | 94 | $6K |
| 43235 | 2.5% | 58 | 55 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.1% | 309 | 159 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 12 | 12 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 47 | 25 | $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.
From NPPES
Who's on the registration
Authorized officialMALIK, PRAMOD (OWNER)