Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Professional Gastroenterology & Nutrition Associates, P.A.

Professional Gastroenterology & Nutrition Associates, P.A. was paid $59K by Medicaid between Oct 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoPROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A.
LEESBURG, FL 34788
33aNPI1215974498assigned 05/31/2006
28Total paid$59K
24GClaims2,436
24DCodes billed10
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#59 of 166
Median peer was paid$27K
This provider vs. median2.2×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
201816$23.42
2019472$14K
2020361$8K
2021339$7K
2022223$7K
2023726$14K
2024incomplete299$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 1,449 1,048 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 333 291 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 150 121 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.6% 173 129 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.4% 127 96 $4K
99205 Prolong outpt/office vis 6.0% 78 58 $4K
00813 3.4% 34 31 $2K
00731 2.6% 26 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 26 18 $287.53
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 40 12 $226.96

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 officialTRAN, LILY (PHYSICIAN)
Same official

Other billing entities under TRAN, LILY

Full network →

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