Gastroenterology Associates of Pensacola PA
Gastroenterology Associates of Pensacola PA was paid $146K by Medicaid between Feb 2018 and Aug 2024, across 12 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 42% of everything it billed.
PENSACOLA, FL 32503
Next to other Gastroenterology Physician providers in Florida
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 | 44 | $98.41 | |
| 2019 | 956 | $21K | |
| 2020 | 822 | $35K | |
| 2021 | 1,326 | $48K | |
| 2022 | 1,069 | $18K | |
| 2023 | 619 | $15K | |
| 2024incomplete | 386 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 42% | 968 | 836 | $61K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 31% | 1,058 | 847 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 1,280 | 1,081 | $13K |
| 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 | 6.5% | 484 | 440 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.2% | 838 | 340 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 360 | 301 | $6K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 16 | 12 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | 38 | $807.83 |
| 99254 | <1% | 14 | 12 | $720.61 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 125 | 79 | $623.28 |
| 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 | <1% | 17 | 15 | $546.37 |
| 88342 | <1% | 15 | 13 | $183.06 |
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.