Gastromed Healthcare, P.A.

Gastromed Healthcare, P.A. was paid $43K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoGASTROMED HEALTHCARE, P.A.
SOMERVILLE, NJ 08876

33aNPI1255366589assigned 07/12/2006

33bProvider typeGastroenterology Physician

28Total paid$43K

24GClaims710

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#64 of 150

Median peer was paid$27K

This provider vs. median1.6×

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	362	$24K
2019	348	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	519	507	$24K
99245		35%	142	141	$15K
88305	Level IV - Surgical pathology, gross and microscopic examination	7.3%	29	29	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	20	14	$455.91

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 officialANELLO, LISA (OFFICE MANAGER)