Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Catawba Gastroenterology PA

Catawba Gastroenterology PA was paid $207K by Medicaid between Jan 2018 and Jan 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoCATAWBA GASTROENTEROLOGY PA
LANCASTER, SC 29720
33aNPI1144242108assigned 07/25/2006
28Total paid$207K
24GClaims4,180
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Gastroenterology Physician providers in South Carolina

Rank by total paid#4 of 32
Median peer was paid$20K
This provider vs. median10×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,794$84K
20191,338$69K
2020997$50K
202151$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 1,989 1,892 $102K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,527 1,451 $46K
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 15% 358 346 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12% 177 173 $24K
99222 Initial hospital care, per day, moderate complexity 1.1% 48 37 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 15 12 $529.06
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 25 13 $120.61
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 27 25 $0.05
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 14 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 officialAMIN, VIMAL (PRESIDENT)