Physician
Garden State Gastroenterology,pc
Garden State Gastroenterology,pc was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 24% of everything it billed.
33Billing provider infoGARDEN STATE GASTROENTEROLOGY,PC
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
33aNPI1215124524assigned 10/01/2007
33bProvider typeGastroenterology Physician
28Total paid$1.72M
24GClaims31,935
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#3 of 150
Median peer was paid$27K
This provider vs. median65×
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 | 4,288 | $278K | |
| 2019 | 3,877 | $246K | |
| 2020 | 4,040 | $221K | |
| 2021 | 5,393 | $274K | |
| 2022 | 5,602 | $264K | |
| 2023 | 4,829 | $237K | |
| 2024incomplete | 3,906 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 24% | 3,641 | 3,516 | $409K |
| 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 | 20% | 8,341 | 7,904 | $341K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 12% | 1,831 | 1,741 | $209K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.5% | 1,550 | 1,549 | $164K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 8.4% | 1,261 | 1,225 | $144K |
| 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 | 4.8% | 1,455 | 1,395 | $82K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 5,420 | 1,883 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 1,387 | 1,301 | $65K |
| 99243 | 3.5% | 788 | 788 | $61K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 1,741 | 1,665 | $51K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 843 | 778 | $32K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 1,060 | 966 | $23K |
5 more codes
| 99242 | 1.3% | 305 | $23K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 610 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,573 | $15K |
| 99253 | <1% | 94 | $6K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 35 | $4K |
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 officialDREVELUS HOM, TRACEY (OFFICE MANAGER)