Gastroenterology Associates of Hazard PSC

Gastroenterology Associates of Hazard PSC was paid $291K by Medicaid between Jan 2018 and Apr 2019, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 37% of everything it billed.

33Billing provider infoGASTROENTEROLOGY ASSOCIATES OF HAZARD PSC
HAZARD, KY 41701

33aNPI1265408900assigned 02/23/2006

33bProvider typeGastroenterology Physician

28Total paid$291K

24GClaims4,273

24DCodes billed11

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Gastroenterology Physician providers in Kentucky

Rank by total paid#8 of 23

Median peer was paid$116K

This provider vs. median2.5×

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	3,374	$238K
2019	899	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	37%	672	580	$109K
99244	Office or other outpatient consultation, moderate to high complexity	20%	848	821	$58K
45380	Colonoscopy, flexible; with biopsy, single or multiple	17%	191	181	$50K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	1,383	1,288	$35K
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	4.9%	463	425	$14K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	3.7%	39	35	$11K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.6%	14	14	$5K
99254		1.6%	43	43	$5K
Q3014	Telehealth originating site facility fee	1.3%	512	459	$4K
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%	66	65	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	42	27	$724.92

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 officialSHANKAR, SHARMILA (PRACTICE MANAGER)