Physician
Middlesex Gastroenterology Associates, LLC
Middlesex Gastroenterology Associates, LLC was paid $497K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoMIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1205894375assigned 05/01/2006
33bProvider typeGastroenterology Physician
28Total paid$497K
24GClaims10,245
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Connecticut
Rank by total paid#4 of 19
Median peer was paid$164K
This provider vs. median3.0×
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 | 1,056 | $57K | |
| 2019 | 1,104 | $60K | |
| 2020 | 1,097 | $65K | |
| 2021 | 1,643 | $82K | |
| 2022 | 1,240 | $55K | |
| 2023 | 2,118 | $91K | |
| 2024incomplete | 1,987 | $87K |
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 | 34% | 3,611 | 3,027 | $170K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 3,865 | 3,386 | $163K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.9% | 1,118 | 1,017 | $49K |
| 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 | 6.2% | 538 | 430 | $31K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.0% | 206 | 196 | $30K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 395 | 306 | $23K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.4% | 272 | 228 | $17K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.5% | 69 | 62 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 44 | 38 | $5K |
| 99243 | <1% | 15 | 15 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 67 | 65 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 45 | 35 | $86.84 |
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 officialRICCI, MARIO (MANAGING PARTNER)