Physician
North Worcester Gastroenterology, P.C.
North Worcester Gastroenterology, P.C. was paid $235K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.
33Billing provider infoNORTH WORCESTER GASTROENTEROLOGY, P.C.
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1245567049assigned 11/16/2009
33bProvider typeGastroenterology Physician
28Total paid$235K
24GClaims4,822
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Massachusetts
Rank by total paid#7 of 71
Median peer was paid$11K
This provider vs. median21×
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 | 424 | $23K | |
| 2019 | 749 | $38K | |
| 2020 | 649 | $33K | |
| 2021 | 1,123 | $50K | |
| 2022 | 825 | $39K | |
| 2023 | 449 | $23K | |
| 2024incomplete | 603 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 846 | 843 | $68K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 27% | 1,477 | 1,464 | $63K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 663 | 650 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.0% | 317 | 317 | $19K |
| 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 | 7.9% | 443 | 440 | $19K |
| 88342 | 5.9% | 492 | 488 | $14K | |
| 99222 | Initial hospital care, per day, moderate complexity | 4.5% | 185 | 182 | $11K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 42 | 42 | $3K |
| 88313 | 1.2% | 268 | 265 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 77 | 77 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $383.48 |
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 officialYU, WANKIN (GROUP PRACTICE OWNER)