Gastroenterology Group of South Jersey P C
Gastroenterology Group of South Jersey P C was paid $199K by Medicaid between Jan 2018 and Dec 2019, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.
33Billing provider infoGASTROENTEROLOGY GROUP OF SOUTH JERSEY P C
VINELAND, NJ 08360
VINELAND, NJ 08360
33aNPI1245391051assigned 12/13/2006
33bProvider typeSpecialist
28Total paid$199K
24GClaims2,485
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#138 of 378
Median peer was paid$63K
This provider vs. median3.2×
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
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 | 1,147 | $86K | |
| 2019 | 1,338 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 27% | 419 | 419 | $53K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 20% | 253 | 253 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 839 | 832 | $30K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.4% | 98 | 98 | $19K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.1% | 212 | 212 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 177 | 177 | $10K |
| 43235 | 4.7% | 74 | 73 | $9K | |
| 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 | 4.4% | 143 | 143 | $9K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.4% | 24 | 24 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 97 | 91 | $4K |
| 99243 | 1.1% | 36 | 36 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 82 | 41 | $2K |
1 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 31 | $876.10 |
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 officialMATUSOW, GARY (OWNER)