Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Waldorf › NPI 1164404125
Physician

Gastrointestinal Associates of Maryland PA

Gastrointestinal Associates of Maryland PA was paid $90K by Medicaid between Mar 2018 and May 2024, across 10 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 39% of everything it billed.

33Billing provider infoGASTROINTESTINAL ASSOCIATES OF MARYLAND PA
WALDORF, MD 20602
33aNPI1164404125assigned 11/16/2005
28Total paid$90K
24GClaims1,674
24DCodes billed10
24AFirst – last monthMar 2018 – May 2024
Compared with peers

Next to other Gastroenterology Physician providers in Maryland

Rank by total paid#24 of 55
Median peer was paid$64K
This provider vs. median1.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201871$5K
201912$1K
2020168$13K
2021151$14K
2022600$22K
2023585$28K
2024incomplete87$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 39% 741 655 $35K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 184 167 $15K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.6% 118 113 $8K
88342 8.0% 225 188 $7K
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 7.7% 45 43 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6.9% 40 37 $6K
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 4.7% 43 40 $4K
88313 3.5% 205 188 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3.3% 45 38 $3K
88312 1.0% 28 27 $942.03

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 officialGRAY, LEGINA (PRACTICE ADMINISTRATOR)
Same official

Other billing entities under GRAY, LEGINA

Full network →
ProviderLocationPaid
Gastrointestinal Associates of Maryland PAOxon Hill, MD$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.