Southwest Gastroenterology Associates, INC
Southwest Gastroenterology Associates, INC was paid $10K by Medicaid between Dec 2020 and Nov 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoSOUTHWEST GASTROENTEROLOGY ASSOCIATES, INC
WASHINGTON, PA 15301
WASHINGTON, PA 15301
33aNPI1154363893assigned 06/10/2006
33bProvider typeSpecialist
28Total paid$10K
24GClaims272
24DCodes billed3
24AFirst – last monthDec 2020 – Nov 2023
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#307 of 543
Median peer was paid$16K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 17 | $300.38 | |
| 2021 | 186 | $7K | |
| 2022 | 27 | $979.50 | |
| 2023 | 42 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 217 | 199 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 25 | 25 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 30 | 12 | $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 officialPANICCO, RICHARD (PRESIDENT)