Physician
Newtown Gastroenterology PC
Newtown Gastroenterology PC was paid $8.05M by Medicaid between Feb 2023 and Dec 2024, across 29 billing codes. Its largest line is 88312, — 22% of everything it billed.
33Billing provider infoNEWTOWN GASTROENTEROLOGY PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1134868045assigned 05/31/2022
33bProvider typeGastroenterology Physician
28Total paid$8.05M
24GClaims34,424
24DCodes billed29
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#4 of 656
Median peer was paid$12K
This provider vs. median661×
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 | |
|---|---|---|---|
| 2023 | 5,866 | $1.71M | |
| 2024incomplete | 28,558 | $6.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88312 | 22% | 3,242 | 3,174 | $1.74M | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 19% | 5,300 | 4,701 | $1.57M |
| 88313 | 15% | 3,410 | 3,279 | $1.19M | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 2,685 | 2,681 | $1.03M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.9% | 1,305 | 1,304 | $555K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 5,454 | 5,012 | $523K |
| 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 | 4.4% | 2,610 | 2,495 | $357K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 2,449 | 2,449 | $292K |
| 88342 | 2.2% | 2,966 | 2,894 | $174K | |
| 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% | 826 | 826 | $149K |
| 43251 | 1.7% | 268 | 267 | $134K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.3% | 288 | 288 | $106K |
17 more codes
| 00731 | <1% | 405 | $55K | |
| 45331 | <1% | 182 | $42K | |
| 46600 | <1% | 308 | $37K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 58 | $28K |
| 76981 | <1% | 280 | $25K | |
| 00811 | <1% | 74 | $14K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 398 | $9K |
| 00812 | <1% | 71 | $8K | |
| 45338 | <1% | 26 | $8K | |
| 99051 | <1% | 1,429 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 132 | $3K |
| 83013 | <1% | 26 | $2K | |
| 83014 | <1% | 126 | $786.18 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $307.44 |
| 82270 | <1% | 65 | $185.93 | |
| 1000F | 0% | 15 | $0.00 | |
| 1032F | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialTIN, KEVIN (MD)
| Provider | Location | Paid |
|---|---|---|
| East Point Medical PC | Maspeth, NY | $1.61M |
| Insight Comprehensive Medical PC | New York, NY | $254K |
| East Summit Medical PC | New York, NY | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.