Physician
Southwestern Gastrointestinal Specialists PC
Southwestern Gastrointestinal Specialists PC was paid $92K by Medicaid between Nov 2020 and Aug 2022, across 8 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 77% of everything it billed.
33Billing provider infoSOUTHWESTERN GASTROINTESTINAL SPECIALISTS PC
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1235208950assigned 11/07/2006
33bProvider typeGastroenterology Physician
28Total paid$92K
24GClaims1,073
24DCodes billed8
24AFirst – last monthNov 2020 – Aug 2022
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#19 of 178
Median peer was paid$6K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 53 | $4K | |
| 2021 | 622 | $53K | |
| 2022 | 398 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 77% | 679 | 558 | $71K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 195 | 180 | $14K |
| 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 | 2.8% | 83 | 81 | $3K |
| 00731 | 2.2% | 38 | 38 | $2K | |
| 88313 | 1.8% | 39 | 39 | $2K | |
| 88342 | <1% | 14 | 14 | $878.51 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
| 3017F | 0% | 13 | 13 | $0.00 |
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 officialRUTHARDT, FREDERICK (PRESIDENT)