Gastroenterology Associates of Northern Virginia, LLC
Gastroenterology Associates of Northern Virginia, LLC was paid $166K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
FAIRFAX, VA 22033
Next to other Pediatric Gastroenterology Physician providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 69 | $865.45 | |
| 2019 | 258 | $10K | |
| 2020 | 425 | $29K | |
| 2021 | 723 | $34K | |
| 2022 | 606 | $22K | |
| 2023 | 663 | $35K | |
| 2024incomplete | 632 | $35K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 501 | 410 | $41K |
| 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 | 17% | 416 | 379 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 980 | 872 | $25K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 579 | 511 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 356 | 304 | $19K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 8.0% | 141 | 137 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 211 | 116 | $5K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.7% | 39 | 37 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 62 | 50 | $2K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 35 | 29 | $2K |
| 99205 | Prolong outpt/office vis | 1.1% | 13 | 13 | $2K |
| 99443 | <1% | 13 | 13 | $737.75 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.