Gastroenterology Specialists of Dekalb

Gastroenterology Specialists of Dekalb was paid $66K by Medicaid between Jan 2018 and Jun 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoGASTROENTEROLOGY SPECIALISTS OF DEKALB
DECATUR, GA 30032

33aNPI1144350869assigned 03/06/2007

33bProvider typeGastroenterology Physician

28Total paid$66K

24GClaims1,218

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Gastroenterology Physician providers in Georgia

Rank by total paid#3 of 13

Median peer was paid$23K

This provider vs. median2.9×

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	315	$15K
2019	228	$11K
2020	124	$6K
2021	169	$9K
2022	179	$10K
2023	127	$8K
2024incomplete	76	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	80%	955	832	$52K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	7.5%	39	37	$5K
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	6.5%	42	37	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.9%	27	25	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	57	52	$2K
36415	Collection of venous blood by venipuncture	<1%	98	82	$18.00

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 officialHARRIS, SHIRLEY (PRESIDENT)