Physician
Regional Gastroenterology Associates of Lancaster, LTD.
Regional Gastroenterology Associates of Lancaster, LTD. was paid $2.46M by Medicaid between Feb 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoREGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD.
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1154422806assigned 09/26/2006
33bProvider typeGastroenterology Physician
28Total paid$2.46M
24GClaims36,111
24DCodes billed28
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#1 of 178
Median peer was paid$6K
This provider vs. median427×
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 | 12 | $230.21 | |
| 2020 | 1,289 | $178K | |
| 2021 | 8,195 | $779K | |
| 2022 | 8,694 | $497K | |
| 2023 | 10,588 | $568K | |
| 2024incomplete | 7,333 | $437K |
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 | 21% | 10,344 | 10,089 | $516K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 15% | 6,893 | 6,533 | $380K |
| 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 | 11% | 2,991 | 2,954 | $265K |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 11% | 138 | 133 | $263K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 8.3% | 139 | 133 | $205K |
| 88342 | 7.5% | 3,163 | 3,060 | $185K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.6% | 1,609 | 1,574 | $162K |
| 88313 | 6.4% | 3,231 | 3,037 | $157K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 3,279 | 3,216 | $108K |
| 88312 | 2.0% | 764 | 737 | $50K | |
| 00731 | 1.2% | 495 | 473 | $29K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 329 | 320 | $28K |
16 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 828 | $22K |
| 00811 | <1% | 453 | $22K | |
| 00813 | <1% | 290 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 345 | $18K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 63 | $16K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 33 | $4K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 172 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $3K |
| 00812 | <1% | 42 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 76 | $2K |
| 99254 | <1% | 12 | $632.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $360.10 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 31 | $33.46 |
| 1036F | 0% | 30 | $0.00 | |
| 3017F | 0% | 147 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 187 | $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 officialWHITEBLOOM, DALE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rgal Anesthesia Services LLC | Lancaster, PA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.